| Source NDC Code |
|
Target HCPCS Code |
64406-0109-01
QALSODY 100 MG/15 ML VIAL
|
⇄
|
C9157
Inj, tofersen, 1 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IT |
| Billing Units |
ML |
|
|
|
64406-0109-01
QALSODY (PF) 6.7 MG/1 ML
|
⇄
|
J1304
INJECTION, TOFERSEN, 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IN |
| Billing Units |
ML |
|
|
|
64406-0109-01
QALSODY 100 MG/15 ML VIAL
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IT |
| Billing Units |
ML |
|
|
|
64406-0109-01
QALSODY
|
⇄
|
J1304
Inj tofersen intrathec 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 |
|
|
|
|