| Source NDC Code |
|
Target HCPCS Code |
70121-2501-01
LIORESAL REFILL KIT (8561,PF,LATEX-FREE) 0.5 MG/1 ML
|
⇄
|
J0475
INJECTION, BACLOFEN, 10 MG
|
| Detail Information |
| Relationship Start Date |
03/14/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IN |
| Billing Units |
ML |
|
|
|
70121-2501-01
Lioresal
|
⇄
|
J0475
Baclofen 10 mg 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 |
|
|
|
|