| Source NDC Code |
|
Target HCPCS Code |
61755-0005-02
|
⇄
|
C9291
|
| 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 |
|
|
|
|
61755-0005-02
EYLEA (PF) 40 MG/1 ML
|
⇄
|
J0178
INJECTION, AFLIBERCEPT, 1 MG
|
| Detail Information |
| Relationship Start Date |
11/21/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
61755-0005-02
|
⇄
|
Q2046
|
| 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 |
|
|
|
|
61755-0005-02
EYLEA
|
⇄
|
J0178
Aflibercept injection
|
| 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 |
|
|
|
|