| Source NDC Code |
|
Target HCPCS Code |
57665-0001-01
ADAGEN (VIAL) 250 U/ML
|
⇄
|
J2504
INJECTION, PEGADEMASE BOVINE, 25 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
06/30/2019 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
57665-0001-01
ADAGEN (VIAL) 250 U/ML
|
⇄
|
Q2012
INJECTION, PEGADEMASE BOVINE, 25 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|