| Source NDC Code |
|
Target HCPCS Code |
50419-0392-01
VITRAKVI 20 MG/ML SOLUTION
|
⇄
|
C9399
Unclassified Drugs or Biologicals
|
| Detail Information |
| Relationship Start Date |
11/26/2018 |
| Relationship End Date |
11/26/2018 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
50419-0392-01
VITRAKVI 20 MG/ML SOLUTION
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
11/26/2018 |
| Relationship End Date |
11/26/2018 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
50419-0392-01
VITRAKVI 20 MG/ML SOLUTION
|
⇄
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
| Detail Information |
| Relationship Start Date |
11/26/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|