| Source NDC Code |
|
Target HCPCS Code |
58468-0090-01
|
⇄
|
J7320
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
58468-0090-01
SYNVISC (3X2 ML SRN,PREFILLED) 8 MG/ML
|
⇄
|
J7322
HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2009 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
58468-0090-01
|
⇄
|
J7325
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
58468-0090-01
SYNVISC (3X2 ML SRN,PREFILLED) 8 MG/ML
|
⇄
|
Q4084
HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE
|
| Detail Information |
| Relationship Start Date |
1/1/2007 |
| Relationship End Date |
12/31/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
58468-0090-01
Synvisc
|
⇄
|
J7325
Synvisc or synvisc-one
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|