| Source NDC Code |
|
Target HCPCS Code |
69911-0864-02
IDELVION 250 UNIT RANGE VIAL
|
⇄
|
J7202
Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
69911-0864-02
Idelvion
|
⇄
|
J7202
Factor ix idelvion inj
|
| 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 |
|
|
|
|