| Source HCPCS Code |
|
Target NDC Code |
Q2055
Idecabtagene vicleucel, up to 510 million BCMA car-t cells, including leukaph. & prep., per dose
|
⇄
|
59572-0515-01
ABECMA INFUSION BAG
|
| Detail Information |
| Relationship Start Date |
01/02/2022 |
| 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 |
|
|
|
Q2055
Idecabtagene vicleucel, up to 510 million BCMA car-t cells, including leukaph. & prep., per dose
|
⇄
|
59572-0515-02
ABECMA INFUSION BAG
|
| Detail Information |
| Relationship Start Date |
01/02/2022 |
| 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 |
|
|
|
Q2055
Idecabtagene vicleucel, up to 510 million BCMA car-t cells, including leukaph. & prep., per dose
|
⇄
|
59572-0515-03
ABECMA INFUSION BAG
|
| Detail Information |
| Relationship Start Date |
01/02/2022 |
| 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 |
|
|
|
Q2055
Idecabtagene vicleucel car
|
⇄
|
59572-0515-01
Abecma
|
| 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 |
|
|
|
|
Q2055
Idecabtagene vicleucel car
|
⇄
|
59572-0515-02
Abecma
|
| 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 |
|
|
|
|
Q2055
Idecabtagene vicleucel car
|
⇄
|
59572-0515-03
Abecma
|
| 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 |
|
|
|
|