| Source NDC Code |
|
Target HCPCS Code |
55566-8505-06
BRAVELLE (SDV W/Q-CAP) 75 IU
|
⇄
|
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
12/31/2017 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
55566-8505-06
BRAVELLE (SDV W/Q-CAP) 75 IU
|
⇄
|
Q2018
INJECTION, UROFOLLITROPIN, 75 IU
|
| Detail Information |
| Relationship Start Date |
1/3/2005 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|