| Source NDC Code |
|
Target HCPCS Code |
49502-0196-75
SEMGLEE PEN 100 U/1 ML
|
⇄
|
J1815
INJECTION, INSULIN, PER 5 UNITS
|
| Detail Information |
| Relationship Start Date |
08/31/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PE |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
49502-0196-75
SEMGLEE 100 UNIT/ML PEN
|
⇄
|
S5553
Insulin, long acting; 5 units
|
| Detail Information |
| Relationship Start Date |
09/01/2020 |
| Relationship End Date |
11/30/2022 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|