| Source NDC Code |
|
Target HCPCS Code |
65219-0624-20
ACYCLOVIR SODIUM SDV 50 MG/1 ML
|
⇄
|
J0133
INJECTION, ACYCLOVIR, 5 MG
|
| Detail Information |
| Relationship Start Date |
06/17/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
65219-0624-20
Acyclovir Sodium
|
⇄
|
J0133
Acyclovir 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 |
|
|
|
|