| Source HCPCS Code |
|
Target NDC Code |
J7174
Injection, fitusiran, 0.04 mg
|
⇄
|
58468-0347-01
QFITLIA 20 MG/0.2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J7174
Injection, fitusiran, 0.04 mg
|
⇄
|
58468-0348-01
QFITLIA 50 MG/0.5 ML PEN
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J7174
Injection fitusiran 0.04 mg
|
⇄
|
58468-0347-01
Qfitlia
|
| 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 |
|
|
|
|
J7174
Injection fitusiran 0.04 mg
|
⇄
|
58468-0348-01
Qfitlia
|
| 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 |
|
|
|
|