| Source NDC Code |
|
Target HCPCS Code |
55150-0452-01
MITOMYCIN (USP,PF,LATEX-FREE) 40 MG
|
⇄
|
J9280
INJECTION, MITOMYCIN, 5 MG
|
| Detail Information |
| Relationship Start Date |
11/13/2023 |
| Relationship End Date |
06/13/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
55150-0452-01
Mitomycin
|
⇄
|
J9280
Mitomycin 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 |
|
|
|
|