| Source NDC Code |
|
Target HCPCS Code |
00169-3205-15
FIASP PENFILL (PREFILLED PEN) 100 U/1 ML
|
⇄
|
J1812
INSULIN (FIASP), PER 5 UNITS
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
00169-3205-15
FIASP PENFILL (PREFILLED PEN) 100 U/1 ML
|
⇄
|
J1815
INJECTION, INSULIN, PER 5 UNITS
|
| Detail Information |
| Relationship Start Date |
09/24/2019 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|