| Source HCPCS Code |
|
Target NDC Code |
C9167
Injection, adamts13, recombinant-krhn, 10 iu
|
⇄
|
64764-0130-01
ADZYNMA 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
04/03/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
C9167
Injection, adamts13, recombinant-krhn, 10 iu
|
⇄
|
64764-0135-01
ADZYNMA 1,500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
04/03/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
C9167
Injection, adamts13, recombinant-krhn, 10 iu
|
⇄
|
64764-0140-05
ADZYNMA 500 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
04/03/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
C9167
Injection, adamts13, recombinant-krhn, 10 iu
|
⇄
|
64764-0145-05
ADZYNMA 1,500 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
04/03/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|