| Source HCPCS Code |
|
Target NDC Code |
J9325
Inj talimogene laherparepvec
|
⇄
|
55513-0078-01
IMLYGIC 1 MILLION PFU/ML VI
|
| Detail Information |
| Relationship Start Date |
01/01/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9325
Inj talimogene laherparepvec
|
⇄
|
55513-0079-01
IMLYGIC 100 MILLION PFU/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9325
Inj talimogene laherparepvec
|
⇄
|
55513-0078-01
IMLYGIC
|
| 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 |
|
|
|
|
J9325
Inj talimogene laherparepvec
|
⇄
|
55513-0079-01
IMLYGIC
|
| 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 |
|
|
|
|