| Source HCPCS Code |
|
Target NDC Code |
J0584
INJECTION, BUROSUMAB-TWZA 1 MG
|
⇄
|
42747-0102-01
CRYSVITA (SDV,PF) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J0584
INJECTION, BUROSUMAB-TWZA 1 MG
|
⇄
|
42747-0203-01
CRYSVITA (SDV,PF) 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J0584
INJECTION, BUROSUMAB-TWZA 1 MG
|
⇄
|
42747-0304-01
CRYSVITA (SDV,PF) 30 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J0584
INJECTION, BUROSUMAB-TWZA 1 MG
|
⇄
|
69794-0102-01
CRYSVITA (PF) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J0584
INJECTION, BUROSUMAB-TWZA 1 MG
|
⇄
|
69794-0203-01
CRYSVITA (PF) 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J0584
INJECTION, BUROSUMAB-TWZA 1 MG
|
⇄
|
69794-0304-01
CRYSVITA (PF) 30 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J0584
Injection, burosumab-twza 1m
|
⇄
|
42747-0102-01
CRYSVITA
|
| 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 |
|
|
|
|
J0584
Injection, burosumab-twza 1m
|
⇄
|
42747-0203-01
CRYSVITA
|
| 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 |
|
|
|
|
J0584
Injection, burosumab-twza 1m
|
⇄
|
42747-0304-01
CRYSVITA
|
| 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 |
|
|
|
|
J0584
Injection, burosumab-twza 1m
|
⇄
|
69794-0102-01
Crysvita
|
| 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 |
|
|
|
|
J0584
Injection, burosumab-twza 1m
|
⇄
|
69794-0203-01
Crysvita
|
| 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 |
|
|
|
|
J0584
Injection, burosumab-twza 1m
|
⇄
|
69794-0304-01
Crysvita
|
| 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 |
|
|
|
|