| Source NDC Code |
|
Target HCPCS Code |
68982-0820-05
PANZYGA (PF,LATEX-FREE) 100 MG/1 ML
|
⇄
|
J1576
INJECTION, IMMUNE GLOBULIN (PANZYGA), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
68982-0820-05
PANZYGA (PF,LATEX-FREE) 100 MG/1 ML
|
⇄
|
J1599
INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG
|
| Detail Information |
| Relationship Start Date |
11/12/2018 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|