| Source NDC Code |
|
Target HCPCS Code |
61755-0050-01
EYLEA HD 8 MG/0.07 ML VIAL
|
⇄
|
C9161
Injection, aflibercept hd, 1 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.07 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
61755-0050-01
EYLEA HD (VIAL KIT,PF) 8 MG/0.07 ML
|
⇄
|
J0177
INJECTION, AFLIBERCEPT HD, 1 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.07 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
61755-0050-01
EYLEA HD 8 MG/0.07 ML VIAL
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.07 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
61755-0050-01
Eylea HD
|
⇄
|
J0177
Inj, aflibercept hd, 1 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 |
|
|
|
|