| Source NDC Code |
|
Target HCPCS Code |
55390-0068-01
ADENOSINE (S.D.V.) 3 MG/ML
|
⇄
|
J0150
INJECTION, ADENOSINE FOR THERAPEUTIC USE, 6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270)
|
| Detail Information |
| Relationship Start Date |
9/1/2004 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
55390-0068-01
ADENOSINE (S.D.V.,PF) 3 MG/ML
|
⇄
|
J0153
INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)
|
| Detail Information |
| Relationship Start Date |
1/1/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|