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NDC 58281-0561-04 To HCPCS Mapping

NDC “58281-0561-04” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
58281-0561-04
LIORESAL INTRATHECAL REFILL KIT (4X5 ML AMP) 2 MG/ML 		⇄ J0475
INJECTION, BACLOFEN, 10 MG
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 10/20/2003
Number Of Items In Ndc Package 5
Ndc Package Measure ML
Ndc Package Type AM
Route Of Administration IN
Billing Units EA