| Source NDC Code |
|
Target HCPCS Code |
39822-4500-02
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 |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
39822-4500-02
Edaravone
|
⇄
|
J1301
Injection, edaravone, 1 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 |
|
|
|
|