| Source HCPCS Code |
|
Target NDC Code |
J9334
Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc
|
⇄
|
73475-1221-01
VYVGART HYTRULO 1,000 MG-10,000 UNIT/5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/24/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9334
Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc
|
⇄
|
73475-1221-04
VYVGART HYTRULO 1,000 MG-10,000 UNIT/5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/24/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9334
INJECTION, EFGARTIGIMOD ALFA, 2 MG AND HYALURONIDASE-QVFC
|
⇄
|
73475-3102-03
VYVGART HYTRULO (PF) 180 MG/1 ML-2000 U/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9334
Inj efgart-alfa 2mg hya-qvfc
|
⇄
|
73475-1221-01
Vyvgart Hytrulo
|
| 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 |
|
|
|
|
J9334
Inj efgart-alfa 2mg hya-qvfc
|
⇄
|
73475-1221-04
Vyvgart Hytrulo
|
| 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 |
|
|
|
|
J9334
Inj efgart-alfa 2mg hya-qvfc
|
⇄
|
73475-3102-03
Vyvgart Hytrulo
|
| 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 |
|
|
|
|