| Source NDC Code |
|
Target HCPCS Code |
59353-0004-01
RETACRIT 4,000 UNIT/ML VIAL
|
⇄
|
Q5105
Injection, epoetin alfa, biosimilar, (Retacrit) (for esrd on dialysis), 100 units
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
59353-0004-01
RETACRIT (PF) 4000 U/1 ML
|
⇄
|
Q5106
INJECTION, EPOETIN ALFA, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|