| Source NDC Code |
|
Target HCPCS Code |
69800-6502-02
BIVIGAM 10% VIAL
|
⇄
|
90283
Immune globulin (IGIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
10/31/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
69800-6502-02
BIVIGAM 10% VIAL
|
⇄
|
J1556
Injection, immune globulin (bivigam), 500 mg
|
| Detail Information |
| Relationship Start Date |
10/31/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|