| Source HCPCS Code |
|
Target NDC Code |
Q5146
INJECTION, TRASTUZUMAB-STRF (HERCESSI), BIOSIMILAR, 10 MG
|
⇄
|
69448-0015-05
HERCESSI SDV,LYOPHILIZED 150 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5146
INJECTION, TRASTUZUMAB-STRF (HERCESSI), BIOSIMILAR, 10 MG
|
⇄
|
69448-0016-11
HERCESSI MDV,LYOPHILIZED 420 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5146
Inj, hercessi, 10 mg
|
⇄
|
69448-0015-05
Hercessi
|
| 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 |
|
|
|
|
Q5146
Inj, hercessi, 10 mg
|
⇄
|
69448-0016-11
Hercessi
|
| 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 |
|
|
|
|