| Source NDC Code |
|
Target HCPCS Code |
58468-0160-01
|
⇄
|
C9277
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
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| Route Of Administration |
|
| Billing Units |
|
|
|
|
58468-0160-01
LUMIZYME 50 MG VIAL
|
⇄
|
J0221
Injection, alglucosidase alfa, (lumizyme), 10 mg
|
| Detail Information |
| Relationship Start Date |
02/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
58468-0160-01
Lumizyme
|
⇄
|
J0221
Lumizyme injection
|
| 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 |
|
|
|
|