| Source HCPCS Code |
|
Target NDC Code |
J1823
Inj. inebilizumab-cdon, 1 mg
|
⇄
|
72677-0551-01
UPLIZNA 100 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/04/2022 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1823
Inj. inebilizumab-cdon, 1 mg
|
⇄
|
75987-0150-01
UPLIZNA 100 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1823
Inj. inebilizumab-cdon, 1 mg
|
⇄
|
75987-0150-03
UPLIZNA 100 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1823
Inj. inebilizumab-cdon, 1 mg
|
⇄
|
75987-0150-03
Uplizna
|
| 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 |
|
|
|
|
J1823
Inj. inebilizumab-cdon, 1 mg
|
⇄
|
72677-0551-01
Uplizna
|
| 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 |
|
|
|
|