| Source NDC Code |
|
Target HCPCS Code |
13533-0705-01
PROLASTIN-C (APPROX 1000MG,PF) 1 MG
|
⇄
|
J0256
INJECTION, ALPHA 1 PROTEINASE INHIBITOR (HUMAN), NOT OTHERWISE SPECIFIED, 10 MG
|
| Detail Information |
| Relationship Start Date |
01/09/2018 |
| 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 |
|
|
|
13533-0705-01
Prolastin-C
|
⇄
|
J0256
Alpha 1 proteinase inhibitor
|
| 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 |
|
|
|
|