| Source NDC Code |
|
Target HCPCS Code |
61958-2002-01
DESCOVY (FILM COATED) 200 MG-25 MG
|
⇄
|
J0751
EMTRICITABINE 200MG AND TENOFOVIR ALAFENAMIDE 25MG, ORAL, FDA APPROVED PRESCRIPTION, ONLY FOR USE AS HIV PRE-EXPOSURE PROPHYLAXIS (NOT FOR USE AS TREATMENT OF HIV)
|
| Detail Information |
| Relationship Start Date |
01/02/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
61958-2002-01
Descovy
|
⇄
|
J0751
Hiv prep, ftc/taf 200/25mg
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
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| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
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