| Source HCPCS Code |
|
Target NDC Code |
J9256
INJECTION, NIPOCALIMAB-AAHU, 3 MG
|
⇄
|
57894-0800-01
IMAAVY SDV 300 MG/1.62 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1.62 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9256
INJECTION, NIPOCALIMAB-AAHU, 3 MG
|
⇄
|
57894-0801-01
IMAAVY SDV 1200 MG/6.5 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
6.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9256
Inj, nipocalimab-aahu, 3 mg
|
⇄
|
57894-0800-01
Imaavy
|
| 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 |
|
|
|
|
J9256
Inj, nipocalimab-aahu, 3 mg
|
⇄
|
57894-0801-01
Imaavy
|
| 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 |
|
|
|
|