| Source NDC Code |
|
Target HCPCS Code |
00703-4004-01
ROMIDEPSIN 27.5 MG/5.5 ML V
|
⇄
|
C9065
Ij, romidepsin, non-lypohilized , 1mg
|
| Detail Information |
| Relationship Start Date |
10/01/2020 |
| Relationship End Date |
09/30/2021 |
| Number Of Items In Ndc Package |
5.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00703-4004-01
ROMIDEPSIN 27.5 MG/5.5 ML V
|
⇄
|
J9315
Injection, romidepsin, 1 mg
|
| Detail Information |
| Relationship Start Date |
04/14/2020 |
| Relationship End Date |
04/15/2020 |
| Number Of Items In Ndc Package |
5.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00703-4004-01
ROMIDEPSIN 27.5 MG/5.5 ML V
|
⇄
|
J9318
Inj romidepsin non-lyo 0.1mg
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00703-4004-01
Romidepsin non-lyophilized
|
⇄
|
J9318
Inj romidepsin non-lyo 0.1mg
|
| 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 |
|
|
|
|