| Source NDC Code |
|
Target HCPCS Code |
44206-0452-91
HIZENTRA 2 GRAM/10 ML VIAL
|
⇄
|
90284
Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
|
| Detail Information |
| Relationship Start Date |
04/15/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
44206-0452-91
HIZENTRA 2 GRAM/10 ML VIAL
|
⇄
|
J1559
Injection, immune globulin (hizentra), 100 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
44206-0452-91
HIZENTRA 2 GRAM/10 ML VIAL
|
⇄
|
J1599
IVIG NON-LYOPHILIZED, NOS
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
01/02/2011 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|