| Source HCPCS Code |
|
Target NDC Code |
J9019
INJECTION,ASPARAGINASE (ERWINAZE), 1000 IU
|
⇄
|
57902-0249-01
ERWINAZE (SDV,LYOPHILIZED POWDER) 10000 iu
|
| Detail Information |
| Relationship Start Date |
11/01/2017 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9019
INJECTION,ASPARAGINASE (ERWINAZE), 1000 IU
|
⇄
|
57902-0249-05
ERWINAZE (LYOPHILIZED POWDER) 10000 iu
|
| Detail Information |
| Relationship Start Date |
11/01/2017 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9019
INJECTION, ASPARAGINASE (ERWINAZE), 1,000 IU
|
⇄
|
81561-0413-05
ERWINASE (PF,LATEX-FREE) 10000 IU
|
| Detail Information |
| Relationship Start Date |
06/28/2021 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|