| Source HCPCS Code |
|
Target NDC Code |
J1553
INJECTION, IMMUNE GLOBULIN (YIMMUGO), 100 MG
|
⇄
|
83372-0605-01
Yimmugo SDV, 5GM IN 50ML 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1553
INJECTION, IMMUNE GLOBULIN (YIMMUGO), 100 MG
|
⇄
|
83372-0605-11
Yimmugo SDV, 10GM IN 100ML 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1553
INJECTION, IMMUNE GLOBULIN (YIMMUGO), 100 MG
|
⇄
|
83372-0605-21
Yimmugo SDV, 20GM IN 200ML 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1553
Inj yimmugo 100 mg
|
⇄
|
83372-0605-21
Yimmugo
|
| 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 |
|
|
|
|
J1553
Inj yimmugo 100 mg
|
⇄
|
83372-0605-01
Yimmugo
|
| 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 |
|
|
|
|
J1553
Inj yimmugo 100 mg
|
⇄
|
83372-0605-11
Yimmugo
|
| 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 |
|
|
|
|