| Source HCPCS Code |
|
Target NDC Code |
J9313
INJECTION, MOXETUMOMAB PASUDOTOX-TDFK, 0.01 MG
|
⇄
|
00310-4700-01
LUMOXITI (W/ IV SOLN STABILIZER) 1 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
07/01/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9313
INJECTION, MOXETUMOMAB PASUDOTOX-TDFK, 0.01 MG
|
⇄
|
73380-4700-01
LUMOXITI (PF,LATEX-FREE) 1 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2020 |
| Relationship End Date |
05/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9313
Inj., lumoxiti, 0.01 mg
|
⇄
|
73380-4700-01
Lumoxiti
|
| 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 |
|
|
|
|