| Source NDC Code |
|
Target HCPCS Code |
42023-0173-25
GANCICLOVIR (SDV,PF,LYOPHILIZED) 500 MG
|
⇄
|
J1570
INJECTION, GANCICLOVIR SODIUM, 500 MG
|
| Detail Information |
| Relationship Start Date |
04/05/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
42023-0173-25
GANCICLOVIR
|
⇄
|
J1570
Ganciclovir sodium injection
|
| 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 |
|
|
|
|