| Source NDC Code |
|
Target HCPCS Code |
44206-0455-97
HIZENTRA 10 GRAM/50 ML SYRINGE
|
⇄
|
90284
Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
|
| Detail Information |
| Relationship Start Date |
10/16/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
44206-0455-97
HIZENTRA 10 GRAM/50 ML SYRINGE
|
⇄
|
J1559
Injection, immune globulin (hizentra), 100 mg
|
| Detail Information |
| Relationship Start Date |
10/16/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|