| Source NDC Code |
|
Target HCPCS Code |
64208-8234-08
GAMMAPLEX 5% VIAL
|
⇄
|
90283
Immune globulin (IGIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
07/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
400 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
64208-8234-08
GAMMAPLEX 5% VIAL
|
⇄
|
J1557
Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
400 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
64208-8234-08
GAMMAPLEX
|
⇄
|
J1557
Gammaplex injection
|
| 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 |
|
|
|
|