| Source NDC Code |
|
Target HCPCS Code |
66621-0790-02
ANAVIP (LYOPHILIZED) (10ML VL) 24 MG/1 ML
|
⇄
|
J0841
INJECTION, CROTALIDAE IMMUNE F(AB')2 (EQUINE), 120 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
66621-0790-02
ANAVIP (LYOPHILIZED) (10ML VL) 24 MG/1 ML
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
10/30/2018 |
| Relationship End Date |
12/31/2018 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
66621-0790-02
Anavip
|
⇄
|
J0841
Inj crotalidae im f(ab')2 eq
|
| 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 |
|
|
|
|