| Source NDC Code |
|
Target HCPCS Code |
00944-2850-09
CUVITRU 10 GRAM/50 ML VIAL
|
⇄
|
90284
Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
|
| Detail Information |
| Relationship Start Date |
11/16/2016 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
00944-2850-09
CUVITRU (10GM,PF,LATEX-FREE) 20%
|
⇄
|
J1555
INJECTION, IMMUNE GLOBULIN (CUVITRU), 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
00944-2850-09
Cuvitru
|
⇄
|
J1555
Inj cuvitru, 100 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 |
|
|
|
|