| Source HCPCS Code |
|
Target NDC Code |
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0111-01
RYONCIL 1 VIAL; 1 ALCOHOL WIPE,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0112-02
RYONCIL 2 VIALS; 2 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0113-03
RYONCIL 3 VIALS; 3 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0114-01
RYONCIL 4 VIALS; 4 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0115-02
RYONCIL 5 VIALS; 5 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0116-03
RYONCIL 6 VIALS; 6 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0117-04
RYONCIL 7 VIALS; 7 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0118-02
RYONCIL 8 VIALS; 8 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0119-03
RYONCIL 9 VIALS; 9 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0120-04
RYONCIL 10 VIALS; 10 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0121-05
RYONCIL 11 VIALS; 11 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
⇄
|
73648-0122-03
RYONCIL 12 VIALS; 12 ALCOHOL WIPES,CRYOPRESERVED
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0111-01
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0112-02
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0113-03
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0114-01
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0115-02
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0116-03
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0117-04
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0118-02
Ryoncil
|
| 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 |
|
|
|
|
J3402
Inj. remestemcel-l-rknd/ td
|
⇄
|
73648-0122-03
Ryoncil
|
| 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 |
|
|
|
|