| Source NDC Code |
|
Target HCPCS Code |
58468-0050-01
XENPOZYME (SDV,PF,LATEX-FREE) 20 MG
|
⇄
|
J0218
INJECTION, OLIPUDASE ALFA-RPCP, 1 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| 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 |
|
|
|
58468-0050-01
XENPOZYME 20 MG VIAL
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
11/01/2022 |
| Relationship End Date |
03/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
58468-0050-01
XENPOZYME
|
⇄
|
J0218
Inj olipudase alfa-rpcp 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 |
|
|
|
|