| Source NDC Code |
|
Target HCPCS Code |
70121-1658-01
ARSENIC TRIOXIDE (SDV,PF,LATEX-FREE) 2 MG/1 ML
|
⇄
|
J9017
INJECTION, ARSENIC TRIOXIDE, 1 MG
|
| Detail Information |
| Relationship Start Date |
09/10/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
70121-1658-01
Arsenic Trioxide
|
⇄
|
J9017
Arsenic trioxide 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 |
|
|
|
|