| Source NDC Code |
|
Target HCPCS Code |
00074-4452-49
ACYCLOVIR SODIUM NOVATION (VIAL,FLIPTOP) 1000 MG
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/30/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00074-4452-49
ACYCLOVIR SODIUM NOVATION (VIAL,FLIPTOP) 1000 MG
|
⇄
|
Q4075
INJECTION, ACYCLOVIR, 5 MG
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
10/24/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|