| Source NDC Code |
|
Target HCPCS Code |
00053-0450-45
HEMGENIX (45VIALS,PF)
|
⇄
|
J1411
INJECTION, ETRANACOGENE DEZAPARVOVEC-DRLB, PER THERAPEUTIC DOSE
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| 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 |
|
|
|
00053-0450-45
Hemgenix
|
⇄
|
J1411
Inj, hemgenix, per tx dose
|
| 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 |
|
|
|
|