| Source HCPCS Code |
|
Target NDC Code |
90396
Varicella-zoster immune globulin, human, for intramuscular use
|
⇄
|
49591-0126-11
VARIZIG 125 UNIT/1.2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/11/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
90396
Varicella-zoster immune globulin, human, for intramuscular use
|
⇄
|
49591-0126-51
VARIZIG 125 UNIT/1.2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/11/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
90396
|
⇄
|
52769-0118-02
|
| 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 |
|
|
|
|
90396
|
⇄
|
52769-0118-10
|
| 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 |
|
|
|
|
90396
|
⇄
|
52769-0574-11
|
| 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 |
|
|
|
|
90396
|
⇄
|
52769-0574-66
|
| 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 |
|
|
|
|
90396
Varicella-zoster immune globulin
|
⇄
|
70257-0126-11
VARIZIG 125 UNIT/1.2 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/27/2017 |
| Relationship End Date |
01/31/2025 |
| Number Of Items In Ndc Package |
1.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
90396
Varicella-zoster immune globulin
|
⇄
|
70257-0126-51
VARIZIG 125 UNIT/1.2 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/27/2017 |
| Relationship End Date |
01/31/2025 |
| Number Of Items In Ndc Package |
1.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
90396
Varicella-zoster ig im
|
⇄
|
49591-0126-51
Varizig
|
| 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 |
|
|
|
|
90396
Varicella-zoster ig im
|
⇄
|
70257-0126-51
Varizig
|
| 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 |
|
|
|
|