| Source HCPCS Code |
|
Target NDC Code |
J0172
Inj, aducanumab-avwa, 2 mg
|
⇄
|
64406-0101-01
ADUHELM 170 MG/1.7 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
11/01/2024 |
| Number Of Items In Ndc Package |
1.7 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0172
Inj, aducanumab-avwa, 2 mg
|
⇄
|
64406-0102-02
ADUHELM 300 MG/3 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
11/01/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|