| Source HCPCS Code |
|
Target NDC Code |
Q2054
Lisocabtagene mara car pos t
|
⇄
|
73153-0900-01
BREYANZI VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q2054
Lisocabtagene mara car pos t
|
⇄
|
73153-0901-08
BREYANZI CD8 COMPONENT VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q2054
Lisocabtagene mara car pos t
|
⇄
|
73153-0902-04
BREYANZI CD4 COMPONENT VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q2054
Lisocabtagene mara car pos t
|
⇄
|
73153-0900-01
Breyanzi
|
| 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 |
|
|
|
|