| Source NDC Code |
|
Target HCPCS Code |
50242-0096-01
VABYSMO 6 MG/0.05 ML VIAL
|
⇄
|
C9097
Inj, faricimab-svoa, 0.1 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2022 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
50242-0096-01
VABYSMO 6 MG/0.05 ML VIAL
|
⇄
|
J2777
Injection, faricimab-svoa, 0.1 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
50242-0096-01
VABYSMO 6 MG/0.05 ML VIAL
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
02/08/2022 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
50242-0096-01
Vabysmo
|
⇄
|
J2777
Inj, faricimab-svoa, 0.1mg
|
| 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 |
|
|
|
|