| Source NDC Code |
|
Target HCPCS Code |
00008-4510-01
MYLOTARG (PF,LYOPHILIZED CAKE) 4.5 MG
|
⇄
|
J9203
INJECTION, GEMTUZUMAB OZOGAMICIN, 0.1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00008-4510-01
MYLOTARG (PF,LYOPHILIZED CAKE) 4.5 MG
|
⇄
|
J9300
INJECTION, GEMTUZUMAB OZOGAMICIN, 5 MG
|
| Detail Information |
| Relationship Start Date |
09/01/2017 |
| Relationship End Date |
12/31/2017 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00008-4510-01
Mylotarg
|
⇄
|
J9203
Gemtuzumab ozogamicin 0.1 mg
|
| 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 |
|
|
|
|