| Source NDC Code |
|
Target HCPCS Code |
00173-0898-03
JEMPERLI 500 MG/10 ML VIAL
|
⇄
|
C9082
Inj dostarlimab-gxly, 100 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/2021 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00173-0898-03
JEMPERLI 500 MG/10 ML VIAL
|
⇄
|
J9272
Inj, dostarlimab-gxly, 10 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00173-0898-03
JEMPERLI 500 MG/10 ML VIAL
|
⇄
|
J9999
NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/2021 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00173-0898-03
Jemperli
|
⇄
|
J9272
Inj, dostarlimab-gxly, 10 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 |
|
|
|
|