| Source NDC Code |
|
Target HCPCS Code |
00088-2502-05
|
⇄
|
J1815
|
| 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 |
|
|
|
|
00088-2502-05
APIDRA SOLOSTAR (5X3ML) 100U/ML
|
⇄
|
J1817
INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS
|
| Detail Information |
| Relationship Start Date |
03/04/2009 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
00088-2502-05
APIDRA SOLOSTAR 100 UNITS/ML
|
⇄
|
S5550
Insulin, rapid onset, 5 units
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
00088-2502-05
APIDRA SOLOSTAR 100 UNITS/ML
|
⇄
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|