| Source NDC Code |
|
Target HCPCS Code |
64764-0135-01
ADZYNMA 1,500 UNIT VIAL
|
⇄
|
C9167
Injection, adamts13, recombinant-krhn, 10 iu
|
| Detail Information |
| Relationship Start Date |
04/03/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
64764-0135-01
ADZYNMA 1,500 UNIT VIAL
|
⇄
|
J3590
Unclassified biologics
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
64764-0135-01
ADZYNMA 1,500 UNIT VIAL
|
⇄
|
J7171
Injection, adamts13, recombinant-krhn, 10 iu
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|