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NDC 58151-0395-31 To HCPCS Mapping

NDC “58151-0395-31” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
58151-0395-31
REVATIO 10 MG/12.5 ML VIAL 		⇄ J3490
Unclassified drugs
Detail Information
Relationship Start Date 10/03/2023
Relationship End Date 12/31/3999
Number Of Items In Ndc Package 12.5
Ndc Package Measure ML
Ndc Package Type VIAL
Route Of Administration IV
Billing Units ML