| Source NDC Code |
|
Target HCPCS Code |
00009-0215-05
PROSTIN VR PEDIATRIC NOVAPLUS (LATEX-FREE) 0.5 MG/1 ML
|
⇄
|
J0270
INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)
|
| Detail Information |
| Relationship Start Date |
10/03/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
00009-0215-05
PROSTIN VR PEDI 500 MCG/ML
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|