| Source NDC Code |
|
Target HCPCS Code |
68982-0810-86
CUTAQUIG 16.5% (8 G/48 ML)
|
⇄
|
90284
Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
|
| Detail Information |
| Relationship Start Date |
05/23/2019 |
| Relationship End Date |
06/30/2022 |
| Number Of Items In Ndc Package |
48 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
68982-0810-86
CUTAQUIG 16.5% (8 G/48 ML)
|
⇄
|
J1551
Injection, immune globulin (cutaquig), 100 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
48 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
68982-0810-86
CUTAQUIG 16.5% (8 G/48 ML)
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
05/23/2019 |
| Relationship End Date |
06/30/2022 |
| Number Of Items In Ndc Package |
48 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|