| Source HCPCS Code |
|
Target NDC Code |
J9038
INJECTION, AXATILIMAB-CSFR, 0.1 MG
|
⇄
|
50881-0023-11
NIKTIMVO SDV 22 MG/0.44 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.44 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9038
INJECTION, AXATILIMAB-CSFR, 0.1 MG
|
⇄
|
50881-0034-12
NIKTIMVO SDV 9 MG/0.18 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.18 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9038
Inj axatilimab-csfr 0.1 mg
|
⇄
|
50881-0012-10
Niktimvo
|
| 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 |
|
|
|
|
J9038
Inj axatilimab-csfr 0.1 mg
|
⇄
|
50881-0023-11
Niktimvo
|
| 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 |
|
|
|
|
J9038
Inj axatilimab-csfr 0.1 mg
|
⇄
|
50881-0034-12
Niktimvo
|
| 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 |
|
|
|
|