| Source NDC Code |
|
Target HCPCS Code |
61953-0005-04
FLEBOGAMMA DIF 10% VIAL
|
⇄
|
90283
Immune globulin (IGIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
04/02/2024 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
61953-0005-04
FLEBOGAMMA DIF 10% VIAL
|
⇄
|
J1572
Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| Relationship End Date |
06/25/2023 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|