NDC 00069-2004-04 To HCPCS Mapping

NDC “00069-2004-04” To HCPCS Crosswalk(s)

Source NDC Code

Target HCPCS Code

00069-2004-04
BEQVEZ 4 SDV KIT

J1414
INJECTION, FIDANACOGENE ELAPARVOVEC-DZKT, PER THERAPEUTIC DOSE

Detail Information

Relationship Start Date	01/01/2025
Relationship End Date	06/11/2025
Number Of Items In Ndc Package	1
Ndc Package Measure	EA
Ndc Package Type
Route Of Administration	IV
Billing Units	EA