| Source HCPCS Code |
|
Target NDC Code |
J0175
INJECTION, DONANEMAB-AZBT, 2 MG
|
⇄
|
00002-9401-01
KISUNLA 17.5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/15/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0175
Inj, donanemab-azbt, 2 mg
|
⇄
|
00002-9401-01
Kisunla
|
| 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 |
|
|
|
|