| Source NDC Code |
|
Target HCPCS Code |
44206-0300-01
|
⇄
|
J2790
|
| 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 |
|
|
|
|
44206-0300-01
RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML
|
⇄
|
J2791
INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC), INTRAMUSCULAR OR INTRAVENOUS, 100 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2008 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
44206-0300-01
RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML
|
⇄
|
Q4089
INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC®) INTRAMUSCULAR OR INTRAVENOUS, 100 IU
|
| Detail Information |
| Relationship Start Date |
7/1/2007 |
| Relationship End Date |
12/31/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
44206-0300-01
Rhophylac
|
⇄
|
J2791
Rhophylac 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 |
|
|
|
|