| Source NDC Code |
|
Target HCPCS Code |
51167-0290-09
CASGEVY FROZEN
|
⇄
|
J3392
INJECTION, EXAGAMGLOGENE AUTOTEMCEL, PER TREATMENT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
51167-0290-09
CASGEVY VIAL
|
⇄
|
J3590
Unclassified biologics
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
51167-0290-09
Casgevy
|
⇄
|
J3392
Inj, exagamglogene autotem
|
| 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 |
|
|
|
|