| Source NDC Code |
|
Target HCPCS Code |
30237-8900-06
|
⇄
|
C9273
|
| 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 |
|
|
|
|
30237-8900-06
PROVENGE INFUSION BAG
|
⇄
|
Q2043
Sipuleucel-T auto CD54+
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
30237-8900-06
PROVENGE�
|
⇄
|
Q2043
Sipuleucel-t auto cd54+
|
| 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 |
|
|
|
|