| Source NDC Code |
|
Target HCPCS Code |
68516-1614-01
VENOGLOBULIN-S 5% (10 GM/VIAL,W/ADMIN SET) 50 MG/ML
|
⇄
|
J1567
INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2006 |
| Relationship End Date |
6/28/2007 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
68516-1614-01
VENOGLOBULIN-S 5% (10 GM/VIAL,W/ADMIN SET) 50 MG/ML
|
⇄
|
Q9943
INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1 G
|
| Detail Information |
| Relationship Start Date |
4/1/2005 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|