| Source NDC Code |
|
Target HCPCS Code |
44206-0532-11
CYTOGAM 2.5 GM/50 ML VIAL
|
⇄
|
90291
Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
11/20/2001 |
| Relationship End Date |
03/19/2023 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
44206-0532-11
CYTOGAM 2.5 GM/50 ML VIAL
|
⇄
|
J0850
Injection, cytomegalovirus immune globulin intravenous (human), per vial
|
| Detail Information |
| Relationship Start Date |
11/20/2001 |
| Relationship End Date |
03/19/2023 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
44206-0532-11
CYTOGAM
|
⇄
|
J0850
Cytomegalovirus imm iv /vial
|
| 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 |
|
|
|
|