| Source NDC Code |
|
Target HCPCS Code |
25682-0028-01
ULTOMIRIS (SDV,PF) 100 MG/1 ML
|
⇄
|
J1303
INJECTION, RAVULIZUMAB-CWVZ, 10 MG
|
| Detail Information |
| Relationship Start Date |
10/12/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
11 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
25682-0028-01
Ultomiris
|
⇄
|
J1303
Inj., ravulizumab-cwvz 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 |
|
|
|
|