| Source NDC Code |
|
Target HCPCS Code |
00069-2151-01
HYMPAVZI 150 MG/ML PEN
|
⇄
|
C9304
Injection, marstacimab-hncq, 0.5 mg
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
00069-2151-01
HYMPAVZI 150 MG/ML PEN
|
⇄
|
J3590
Unclassified biologics
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
00069-2151-01
HYMPAVZI 150 MG/ML PEN
|
⇄
|
J7172
Injection, marstacimab-hncq, 0.5 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
00069-2151-01
Hympavzi
|
⇄
|
J7172
Inj marstacim-hncq, 0.5 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 |
|
|
|
|