| Source HCPCS Code |
|
Target NDC Code |
J9210
INJECTION, EMAPALUMAB-LZSG, 1 MG
|
⇄
|
66658-0501-01
GAMIFANT (PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9210
INJECTION, EMAPALUMAB-LZSG, 1 MG
|
⇄
|
66658-0505-01
GAMIFANT (PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9210
INJECTION, EMAPALUMAB-LZSG, 1 MG
|
⇄
|
66658-0510-01
GAMIFANT (PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/11/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9210
INJECTION, EMAPALUMAB-LZSG, 1 MG
|
⇄
|
72171-0501-01
GAMIFANT (PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
11/30/2021 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9210
INJECTION, EMAPALUMAB-LZSG, 1 MG
|
⇄
|
72171-0505-01
GAMIFANT (PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
11/30/2021 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9210
Inj., emapalumab-lzsg, 1 mg
|
⇄
|
66658-0501-01
Gamifant
|
| 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 |
|
|
|
|
J9210
Inj., emapalumab-lzsg, 1 mg
|
⇄
|
66658-0505-01
Gamifant
|
| 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 |
|
|
|
|
J9210
Inj., emapalumab-lzsg, 1 mg
|
⇄
|
66658-0510-01
Gamifant
|
| 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 |
|
|
|
|