| Source NDC Code |
|
Target HCPCS Code |
57894-0801-01
IMAAVY 1,200 MG/6.5 ML VIAL
|
⇄
|
C9305
Injection, nipocalimab-aahu, 3 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
6.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
57894-0801-01
IMAAVY 1,200 MG/6.5 ML VIAL
|
⇄
|
J3590
Unclassified biologics
|
| Detail Information |
| Relationship Start Date |
09/03/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
6.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
57894-0801-01
IMAAVY SDV 1200 MG/6.5 ML
|
⇄
|
J9256
INJECTION, NIPOCALIMAB-AAHU, 3 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
6.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
57894-0801-01
Imaavy
|
⇄
|
J9256
Inj, nipocalimab-aahu, 3 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 |
|
|
|
|