| Source NDC Code |
|
Target HCPCS Code |
49452-0001-01
ACYCLOVIR (U.S.P.)
|
⇄
|
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME
|
| Detail Information |
| Relationship Start Date |
2/5/2002 |
| Relationship End Date |
9/30/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
49452-0001-01
ACYCLOVIR (U.S.P.)
|
⇄
|
Q4075
INJECTION, ACYCLOVIR, 5 MG
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|