| Source HCPCS Code |
|
Target NDC Code |
Q2056
Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen
|
⇄
|
57894-0111-01
CARVYKTI INFUSION BAG-CASSE
|
| Detail Information |
| Relationship Start Date |
10/01/2022 |
| 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 |
|
|
|
Q2056
Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen
|
⇄
|
57894-0111-02
CARVYKTI INFUSION BAG-CASSE
|
| Detail Information |
| Relationship Start Date |
10/01/2022 |
| 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 |
|
|
|
Q2056
Ciltacabtagene car-pos t
|
⇄
|
57894-0111-01
Carvykti
|
| 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 |
|
|
|
|
Q2056
Ciltacabtagene car-pos t
|
⇄
|
57894-0111-02
Carvykti
|
| 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 |
|
|
|
|