| Source HCPCS Code |
|
Target NDC Code |
Q2042
Tisagenlecleucel, CAR-POS T
|
⇄
|
00078-0846-19
KYMRIAH INFUSION BAG
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q2042
Tisagenlecleucel, CAR-POS T
|
⇄
|
00078-0958-19
KYMRIAH INFUSION BAG
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q2042
Tisagenlecleucel car-pos t
|
⇄
|
00078-0846-19
Kymriah
|
| 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 |
|
|
|
|
Q2042
Tisagenlecleucel car-pos t
|
⇄
|
00078-0958-19
Kymriah
|
| 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 |
|
|
|
|