| Source HCPCS Code |
|
Target NDC Code |
C9170
Injection, tarlatamab-dlle, 1 mg
|
⇄
|
55513-0059-01
IMDELLTRA 1 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
C9170
Injection, tarlatamab-dlle, 1 mg
|
⇄
|
55513-0069-01
IMDELLTRA 10 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
C9170
Injection, tarlatamab-dlle, 1 mg
|
⇄
|
55513-0077-01
IMDELLTRA 10 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
C9170
Injection, tarlatamab-dlle, 1 mg
|
⇄
|
55513-0103-01
IMDELLTRA 1 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|