| Source NDC Code |
|
Target HCPCS Code |
64764-0145-05
ADZYNMA 1,500 UNIT KIT
|
⇄
|
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 |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
64764-0145-05
ADZYNMA 1,500 UNIT KIT
|
⇄
|
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 |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
64764-0145-05
ADZYNMA (APPROX. 1500IU,PF) 1 IU
|
⇄
|
J7171
INJECTION, ADAMTS13, RECOMBINANT-KRHN, 10 IU
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
64764-0145-05
Adzynma
|
⇄
|
J7171
Inj, adzynma, 10 iu
|
| 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 |
|
|
|
|