| Source NDC Code |
|
Target HCPCS Code |
70121-1569-07
RELEUKO 300 MCG/ML VIAL
|
⇄
|
C9096
Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram
|
| Detail Information |
| Relationship Start Date |
07/01/2022 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
70121-1569-07
RELEUKO 300 MCG/ML VIAL
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
02/28/2022 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
70121-1569-07
RELEUKO 300 MCG/ML VIAL
|
⇄
|
Q5125
Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg
|
| Detail Information |
| Relationship Start Date |
10/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
70121-1569-07
Releuko
|
⇄
|
Q5125
Inj, releuko 1 mcg
|
| 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 |
|
|
|
|