| Source NDC Code |
|
Target HCPCS Code |
70121-1099-01
LEVOLEUCOVORIN CALCIUM (SDV,PF,LYOPHILIZED) 50 MG
|
⇄
|
J0641
INJECTION, LEVOLEUCOVORIN, NOT OTHERWISE SPECIFIED, 0.5MG
|
| Detail Information |
| Relationship Start Date |
02/16/2017 |
| 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 |
|
|
|
70121-1099-01
Levoleucovorin Calcium
|
⇄
|
J0641
Inj levoleucovorin nos 0.5mg
|
| 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 |
|
|
|
|