| Source HCPCS Code |
|
Target NDC Code |
J0179
INJECTION, BROLUCIZUMAB-DBLL, 1 MG
|
⇄
|
00078-0827-60
BEOVU (PF) 6 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
03/09/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
J0179
INJECTION, BROLUCIZUMAB-DBLL, 1 MG
|
⇄
|
00078-0827-61
BEOVU (PF) 6 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
J0179
Inj, brolucizumab-dbll, 1 mg
|
⇄
|
00078-0827-60
Beovu
|
| 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 |
|
|
|
|
J0179
Inj, brolucizumab-dbll, 1 mg
|
⇄
|
00078-0827-61
Beovu
|
| 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 |
|
|
|
|