| Source NDC Code |
|
Target HCPCS Code |
00781-3201-94
LEVOLEUCOVORIN 175 MG/17.5
|
⇄
|
J0641
Injection, levoleucovorin calcium, 0.5 mg
|
| Detail Information |
| Relationship Start Date |
06/15/2016 |
| Relationship End Date |
04/30/2023 |
| Number Of Items In Ndc Package |
17.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00781-3201-94
Levoleucovorin Calcium
|
⇄
|
J0641
Inj levoleucovorin nos 0.5mg
|
| 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 |
|
|
|
|