| Source HCPCS Code |
|
Target NDC Code |
J9302
INJECTION, OFATUMUMAB, 10 MG
|
⇄
|
00078-0669-13
ARZERRA (SINGLE-USE W/2 FILTERS) 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/11/2016 |
| Relationship End Date |
10/15/2020 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9302
INJECTION, OFATUMUMAB, 10 MG
|
⇄
|
00078-0669-61
ARZERRA (PF,LATEX-FREE) 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/11/2016 |
| Relationship End Date |
10/15/2020 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9302
INJECTION, OFATUMUMAB, 10 MG
|
⇄
|
00078-0690-61
ARZERRA (SINGLE-USE W/2 FILTERS) 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/11/2016 |
| Relationship End Date |
10/15/2020 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9302
|
⇄
|
00173-0808-02
|
| 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 |
|
|
|
|
J9302
|
⇄
|
00173-0808-05
|
| 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 |
|
|
|
|
J9302
|
⇄
|
00173-0821-01
|
| 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 |
|
|
|
|
J9302
INJECTION, OFATUMUMAB, 10 MG
|
⇄
|
00173-0821-02
ARZERRA (PF,LATEX-FREE) 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
1/5/2016 |
| Relationship End Date |
2/10/2016 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9302
|
⇄
|
00173-0821-33
|
| 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 |
|
|
|
|
J9302
Ofatumumab injection
|
⇄
|
00078-0669-13
Arzerra
|
| 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 |
|
|
|
|
J9302
Ofatumumab injection
|
⇄
|
00078-0690-61
Arzerra
|
| 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 |
|
|
|
|