| Source HCPCS Code |
|
Target NDC Code |
J9355
INJECTION, TRASTUZUMAB, EXCLUDES BIOSIMILAR, 10 MG
|
⇄
|
50242-0132-01
HERCEPTIN (SDV,PF,LYPHOLIZED) 150 MG
|
| Detail Information |
| Relationship Start Date |
05/30/2017 |
| Relationship End Date |
11/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9355
INJECTION, TRASTUZUMAB, 10 MG
|
⇄
|
50242-0132-10
HERCEPTIN (SDV,PF,LYPHOLIZED) 150 MG
|
| Detail Information |
| Relationship Start Date |
06/03/2019 |
| Relationship End Date |
11/30/2023 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9355
INJECTION, TRASTUZUMAB, 10 MG
|
⇄
|
50242-0134-60
HERCEPTIN (M.D.V.,W/DILUENT) 440 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9355
INJECTION, TRASTUZUMAB, EXCLUDES BIOSIMILAR, 10 MG
|
⇄
|
50242-0134-68
HERCEPTIN (M.D.V.,W/DILUENT 20ML) 440 MG
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
06/30/2019 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9355
Inj trastuzumab excl biosimi
|
⇄
|
50242-0132-01
Herceptin
|
| 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 |
|
|
|
|