| Source NDC Code |
|
Target HCPCS Code |
61755-0010-01
EVKEEZA 1,200 MG/8 ML VIAL
|
⇄
|
C9079
Inj, evinacumab-dgnb, 5 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
09/30/2021 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
61755-0010-01
EVKEEZA 1,200 MG/8 ML VIAL
|
⇄
|
J1305
Inj, evinacumab-dgnb, 5mg
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
61755-0010-01
EVKEEZA 1,200 MG/8 ML VIAL
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
09/30/2021 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
61755-0010-01
Evkeeza
|
⇄
|
J1305
Inj, evinacumab-dgnb, 5mg
|
| 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 |
|
|
|
|