| Source NDC Code |
|
Target HCPCS Code |
54879-0027-10
ARSENIC TRIOXIDE 10 MG/10ML
|
⇄
|
J9017
Injection, arsenic trioxide, 1 mg
|
| Detail Information |
| Relationship Start Date |
11/24/2020 |
| Relationship End Date |
06/16/2022 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
54879-0027-10
Arsenic Trioxide
|
⇄
|
J9017
Arsenic trioxide 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 |
|
|
|
|