| Source NDC Code |
|
Target HCPCS Code |
60923-0227-02
AMONDYS-45 100 MG/2 ML VIA
|
⇄
|
C9075
Injection, casimersen, 10 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
09/30/2021 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
60923-0227-02
AMONDYS-45 100 MG/2 ML VIA
|
⇄
|
J1426
Injection, casimersen, 10 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
60923-0227-02
AMONDYS-45 100 MG/2 ML VIA
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
09/30/2021 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
60923-0227-02
Amondys 45
|
⇄
|
J1426
Injection, casimersen, 10 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 |
|
|
|
|