| Source HCPCS Code |
|
Target NDC Code |
J9381
INJECTION, TEPLIZUMAB-MZWV, 5 MCG
|
⇄
|
73650-0316-01
TZIELD (SDV,PF) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9381
INJECTION, TEPLIZUMAB-MZWV, 5 MCG
|
⇄
|
73650-0316-10
TZIELD (SDV,PF) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9381
INJECTION, TEPLIZUMAB-MZWV, 5 MCG
|
⇄
|
73650-0316-14
TZIELD (SDV,PF) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9381
Inj teplizumab mzwv 5 mcg
|
⇄
|
73650-0316-01
TZIELD
|
| 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 |
|
|
|
|
J9381
Inj teplizumab mzwv 5 mcg
|
⇄
|
73650-0316-10
TZIELD
|
| 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 |
|
|
|
|
J9381
Inj teplizumab mzwv 5 mcg
|
⇄
|
73650-0316-14
TZIELD
|
| 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 |
|
|
|
|