| Source NDC Code |
|
Target HCPCS Code |
00053-7596-03
VIVAGLOBIN (PF) 160 MG/ML
|
⇄
|
J1562
INJECTION, IMMUNE GLOBULIN (VIVAGLOBIN), 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
00053-7596-03
VIVAGLOBIN (PF) 160 MG/ML
|
⇄
|
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME
|
| Detail Information |
| Relationship Start Date |
3/1/2006 |
| Relationship End Date |
12/31/2006 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|