| Source NDC Code |
|
Target HCPCS Code |
00002-8794-59
HUMALOG MIX 75/25 PEN (PREFILLED DISPOSABLE) 75 U/ML-25 U/ML
|
⇄
|
J1815
INJECTION, INSULIN, PER 5 UNITS
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
00002-8794-59
|
⇄
|
J1817
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
00002-8794-59
HUMALOG MIX 75/25 PEN (PREFILLED DISPOSABLE) 75 U/ML-25 U/ML
|
⇄
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|