| Source NDC Code |
|
Target HCPCS Code |
68209-0843-03
OCTAGRAM (PF,SUCROSE-FREE) 50MG/ML
|
⇄
|
J1568
INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG
|
| Detail Information |
| Relationship Start Date |
3/21/2012 |
| Relationship End Date |
9/14/2015 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
68209-0843-03
OCTAGAM (PF,SUCROSE-FREE) 50 MG/ML
|
⇄
|
Q4087
INJECTION, IMMUNE GLOBULIN (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG
|
| Detail Information |
| Relationship Start Date |
7/1/2007 |
| Relationship End Date |
12/31/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|