The NDC Code 57970-100-01 is assigned to a package of 1 vial in 1 package > 25 ml in 1 vial of Dalvance, a human prescription drug labeled by Allergan, Inc.. The product's dosage form is injection, powder, for solution and is administered via intravenous form.This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package.
NDC HCPCS Crosswalk
This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.
NDC 57970-100-01 HCPCS crosswalk information with package details and bill units information.
|NDC Billing Code||HCPCS Code||HCPCS Code Desc.||Dosage||Package Size||Package Quantity||Billable Units||Billable Units / Pkg|
|57970010001||J0875||Injection, dalbavancin||5 MG||1||1||100||100|
* Please review the disclaimer below.