| Source NDC Code |
|
Target HCPCS Code |
00069-6237-01
OCTAGAM 10% (20 G/200 ML) VIAL
|
⇄
|
90283
Immune globulin (IgIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
10/23/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00069-6237-01
OCTAGAM 10% (20 G/200 ML) VIAL
|
⇄
|
J1568
INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G.LIQUID), 500 MG
|
| Detail Information |
| Relationship Start Date |
10/23/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|