| Source NDC Code |
|
Target HCPCS Code |
50633-0310-11
CYANOKIT (LYOPHILIZED) 5 GM
|
⇄
|
J3424
INJECTION, HYDROXOCOBALAMIN, INTRAVENOUS, 25 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
50633-0310-11
CYANOKIT (LYOPHILIZED) 5 GM
|
⇄
|
J3425
INJECTION, HYDROXOCOBALAMIN, 10 MCG
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
50633-0310-11
Cyanokit
|
⇄
|
J3424
Inj hydroxocobalamin iv 25mg
|
| 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 |
|
|
|
|