| Source NDC Code |
|
Target HCPCS Code |
68152-0112-01
KHAPZORY 175 MG VIAL
|
⇄
|
C9043
Injection, Levoleucovorin
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
08/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
68152-0112-01
KHAPZORY (PF,LYOPHILIZED) 175 MG
|
⇄
|
J0642
INJECTION, LEVOLEUCOVORIN (KHAPZORY), 0.5 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
05/11/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
68152-0112-01
Khapzory
|
⇄
|
J0642
Injection, khapzory, 0.5 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 |
|
|
|
|