| Source NDC Code |
|
Target HCPCS Code |
61958-3402-01
YEZTUGO SDV 309 MG/1 ML
|
⇄
|
J0738
INJECTION, LENACAPAVIR, 1 MG, FDA APPROVED PRESCRIPTION, ONLY FOR USE AS HIV PRE-EXPOSURE PROPHYLAXIS (NOT FOR USE AS TREATMENT FOR HIV)
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
61958-3402-01
YEZTUGO SDV 309 MG/1 ML
|
⇄
|
J1961
INJECTION, LENACAPAVIR, 1 MG
|
| Detail Information |
| Relationship Start Date |
06/18/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
61958-3402-01
Yeztugo
|
⇄
|
J0738
Hiv prep, inj, lenacapavir
|
| 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 |
|
|
|
|