| Source NDC Code |
|
Target HCPCS Code |
00169-6339-10
NOVOLOG FLEXPEN (PREFILLED SYRINGE) 100 U/ML
|
⇄
|
J1815
INJECTION, INSULIN, PER 5 UNITS
|
| Detail Information |
| Relationship Start Date |
02/10/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
00169-6339-10
|
⇄
|
J1817
|
| 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 |
|
|
|
|
00169-6339-10
NOVOLOG FLEXPEN SYRINGE
|
⇄
|
S5550
Insulin, rapid onset, 5 units
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| 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 |
|
|
|
00169-6339-10
NOVOLOG FLEXPEN SYRINGE
|
⇄
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| 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 |
|
|
|
00169-6339-10
Novolog Flexpen
|
⇄
|
J1817
Insulin for insulin pump use
|
| 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 |
|
|
|
|