| Source HCPCS Code |
|
Target NDC Code |
J1744
Injection, icatibant, 1 mg
|
⇄
|
00093-3066-19
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
00093-3066-34
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
00093-3066-93
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
24201-0207-01
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
54092-0702-02
FIRAZYR 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
54092-0702-03
FIRAZYR 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
55150-0351-01
ICATIBANT 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
05/20/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
55150-0351-03
ICATIBANT 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
05/20/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
9 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
60505-6214-01
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
62332-0654-03
ICATIBANT 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
09/25/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
62332-0654-09
ICATIBANT 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
09/25/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
9 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
63323-0574-01
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
63323-0574-86
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
63323-0574-93
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
69097-0664-34
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
69097-0664-68
ICATIBANT 30 MG/3 ML SYRING
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
70709-0013-01
SAJAZIR 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1744
Injection, icatibant, 1 mg
|
⇄
|
70709-0013-03
SAJAZIR 30 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|