| Source NDC Code |
|
Target HCPCS Code |
59627-0333-04
AVONEX PEN (SINGLE USE,25G,5/8") 30 MCG/0.5 ML
|
⇄
|
J1826
INJECTION, INTERFERON BETA-1A, 30 MCG
|
| Detail Information |
| Relationship Start Date |
04/01/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
59627-0333-04
AVONEX PEN 30 MCG/0.5 ML KI
|
⇄
|
Q3027
Injection, interferon beta-1a, 1 mcg for intramuscular use
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
59627-0333-04
AVONEX PEN
|
⇄
|
Q3027
Inj beta interferon im 1 mcg
|
| 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 |
|
|
|
|