| Source HCPCS Code |
|
Target NDC Code |
Q5120
Inj, pegfilgrastim-bmez, biosimilar, (ziextenzo), 0.5 mg
|
⇄
|
61314-0866-01
ZIEXTENZO 6 MG/0.6 ML SYRIN
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
02/28/2026 |
| Number Of Items In Ndc Package |
0.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
Q5120
Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo), 0.5 mg
|
⇄
|
61314-0866-02
ZIEXTENZO 6 MG/0.6 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/01/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
Q5120
Inj pegfilgrastim-bmez 0.5mg
|
⇄
|
61314-0866-01
Ziextenzo
|
| 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 |
|
|
|
|
Q5120
Inj pegfilgrastim-bmez 0.5mg
|
⇄
|
61314-0866-02
Ziextenzo
|
| 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 |
|
|
|
|