| Source NDC Code |
|
Target HCPCS Code |
00944-2656-03
GAMMAGARD S-D 5 G (IGA<1) SOLN
|
⇄
|
90283
Immune globulin (IGIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
03/01/1999 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
GM |
|
|
|
00944-2656-03
GAMMAGARD S/D (IGA<1UG/ML) (SINGLE DOSE) 5 GM
|
⇄
|
J1566
INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G. POWDER), NOT OTHERWISE SPECIFIED, 500 MG
|
| Detail Information |
| Relationship Start Date |
01/24/2013 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00944-2656-03
Gammagard S/D
|
⇄
|
J1566
Immune globulin, powder
|
| 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 |
|
|
|
|