| Source NDC Code |
|
Target HCPCS Code |
00562-7805-01
RHOGAM ULTRA-FILTERED PLUS SYR
|
⇄
|
J2788
Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)
|
| Detail Information |
| Relationship Start Date |
09/17/2007 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
00562-7805-01
RHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 300 MCG
|
⇄
|
J2790
INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MICROGRAMS (1500 I.U.)
|
| Detail Information |
| Relationship Start Date |
09/01/2007 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
00562-7805-01
RHOGAM ULTRA-FILTERED PLUS
|
⇄
|
J2790
Rho d immune globulin inj
|
| 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 |
|
|
|
|