| Source NDC Code |
|
Target HCPCS Code |
64764-0300-20
|
⇄
|
C9026
|
| 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 |
|
|
|
|
64764-0300-20
ENTYVIO (SDV,PF,LYOPHILIZED) 300 MG
|
⇄
|
J3380
INJECTION, VEDOLIZUMAB, 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
64764-0300-20
ENTYVIO
|
⇄
|
J3380
Injection, vedolizumab
|
| 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 |
|
|
|
|