| Source HCPCS Code |
|
Target NDC Code |
J0870
INJECTION, IMETELSTAT, 1 MG
|
⇄
|
82959-0111-01
RYTELO SDV,LYOPHILIZED 188 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0870
INJECTION, IMETELSTAT, 1 MG
|
⇄
|
82959-0112-01
RYTELO SDV,LYOPHILIZED 47 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0870
Injection, imetelstat, 1 mg
|
⇄
|
82959-0111-01
Rytelo
|
| 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 |
|
|
|
|
J0870
Injection, imetelstat, 1 mg
|
⇄
|
82959-0112-01
Rytelo
|
| 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 |
|
|
|
|