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NDC 39822-4500-01 To HCPCS Mapping

NDC “39822-4500-01” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
39822-4500-01
EDARAVONE 30 MG/100 ML VIAL 		⇄ J1301
Injection, edaravone, 1 mg
Detail Information
Relationship Start Date 12/01/2024
Relationship End Date 05/31/2026
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type VIAL
Route Of Administration IV
Billing Units ML