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NDC 23155-0771-31 To HCPCS Mapping

NDC “23155-0771-31” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
23155-0771-31
FOSCARNET 6,000 MG/250 ML BTTL 		⇄ J1455
Injection, foscarnet sodium, per 1000 mg
Detail Information
Relationship Start Date 12/29/2023
Relationship End Date 12/31/3999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type BOTTLE
Route Of Administration IV
Billing Units ML