| Source NDC Code |
|
Target HCPCS Code |
24208-0416-01
RETISERT (DIRECT SHIP ONLY) 0.59 MG
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
6/20/2005 |
| Relationship End Date |
12/31/2006 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
PG |
| Route Of Administration |
IO |
| Billing Units |
EA |
|
|
|
24208-0416-01
RETISERT IMPLANT
|
⇄
|
J7311
Fluocinolone acetonide, intravitreal implant
|
| Detail Information |
| Relationship Start Date |
02/01/2007 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
IO |
| Billing Units |
EA |
|
|
|
24208-0416-01
Fluocinolone acetonide implt (Retisert)
|
⇄
|
J7311
Inj., retisert, 0.01 mg
|
| 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 |
|
|
|
|