| Source NDC Code |
|
Target HCPCS Code |
70257-0532-51
CYTOGAM 2.5 GM/50 ML VIAL
|
⇄
|
90291
Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use
|
| Detail Information |
| Relationship Start Date |
04/27/2017 |
| Relationship End Date |
01/10/2024 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
70257-0532-51
CYTOGAM 2.5 GM/50 ML VIAL
|
⇄
|
J0850
Injection, cytomegalovirus immune globulin intravenous (human), per vial
|
| Detail Information |
| Relationship Start Date |
04/27/2017 |
| Relationship End Date |
01/10/2024 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|