| Source HCPCS Code |
|
Target NDC Code |
J9173
IJ, durvalumab, 10 mg
|
⇄
|
00310-4500-12
IMFINZI 120 MG/2.4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9173
IJ, durvalumab, 10 mg
|
⇄
|
00310-4611-50
IMFINZI 500 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| 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 |
|
|
|
J9173
Inj., durvalumab, 10 mg
|
⇄
|
00310-4500-12
Imfinzi
|
| 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 |
|
|
|
|
J9173
Inj., durvalumab, 10 mg
|
⇄
|
00310-4611-50
Imfinzi
|
| 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 |
|
|
|
|