| Source NDC Code |
|
Target HCPCS Code |
59353-0220-10
RETACRIT 10000 U/1 ML
|
⇄
|
Q5106
INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS
|
| Detail Information |
| Relationship Start Date |
11/25/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
59353-0220-10
Retacrit
|
⇄
|
Q5105
Inj retacrit esrd on dialysi
|
| 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 |
|
|
|
|
59353-0220-10
Retacrit
|
⇄
|
Q5106
Inj retacrit non-esrd use
|
| 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 |
|
|
|
|