| Source NDC Code |
|
Target HCPCS Code |
00310-4535-30
IMJUDO 300 MG/15 ML VIAL
|
⇄
|
C9147
Injection, tremelimumab-actl, 1 mg
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
|
|
|
|
00310-4535-30
IMJUDO (PF) 20 MG/1 ML
|
⇄
|
J9347
INJECTION, TREMELIMUMAB-ACTL, 1 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00310-4535-30
IMJUDO 300 MG/15 ML VIAL
|
⇄
|
J9999
NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS
|
| Detail Information |
| Relationship Start Date |
12/01/2022 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
|
|
|
|
00310-4535-30
IMJUDO
|
⇄
|
J9347
Inj, tremelimumab-actl, 1 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 |
|
|
|
|