| Source HCPCS Code |
|
Target NDC Code |
C9043
Injection, Levoleucovorin
|
⇄
|
68152-0112-01
KHAPZORY 175 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
08/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
C9043
Injection, Levoleucovorin
|
⇄
|
68152-0114-01
KHAPZORY 300 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
09/30/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|