| Source NDC Code |
|
Target HCPCS Code |
00069-8425-02
OCTAGAM 5% (2.5 G/50 ML) VIAL
|
⇄
|
90283
Immune globulin (IgIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
06/25/2004 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00069-8425-02
OCTAGAM 5% (SD,PF,LATEX-FREE) 50 MG/1 ML
|
⇄
|
J1568
INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
|
| Detail Information |
| Relationship Start Date |
11/13/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
Vl |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00069-8425-02
Octagam
|
⇄
|
J1568
Octagam injection
|
| 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 |
|
|
|
|