| Source NDC Code |
|
Target HCPCS Code |
55513-0164-01
KANJINTI KIT (W/DILUENT,PF) 420 MG
|
⇄
|
Q5117
INJECTION, TRASTUZUMAB-ANNS, BIOSIMILAR, (KANJINTI), 10 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2023 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
55513-0164-01
Kanjinti (Kit)
|
⇄
|
Q5117
Inj., kanjinti, 10 mg
|
| 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 |
|
|
|
|