| Source HCPCS Code |
|
Target NDC Code |
Q5147
INJECTION, AFLIBERCEPT-AYYH (PAVBLU), BIOSIMILAR, 1 MG
|
⇄
|
55513-0056-01
PAVBLU PREFILLED-SYRINGE 2 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
Q5147
INJECTION, AFLIBERCEPT-AYYH (PAVBLU), BIOSIMILAR, 1 MG
|
⇄
|
55513-0065-01
PAVBLU SINGLE-DOSE VIAL 2 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
Q5147
Inj, aflibercept-ayyh, 1 mg
|
⇄
|
55513-0056-01
Pavblu
|
| 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 |
|
|
|
|
Q5147
Inj, aflibercept-ayyh, 1 mg
|
⇄
|
55513-0065-01
Pavblu
|
| 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 |
|
|
|
|