NDC 71904-0200-02 To HCPCS Mapping

NDC “71904-0200-02” To HCPCS Crosswalk(s)

Source NDC Code

Target HCPCS Code

71904-0200-02
POMBILITI (PF,LYOPHILIZED) 105 MG

J1203
INJECTION, CIPAGLUCOSIDASE ALFA-ATGA, 5 MG

Detail Information

Relationship Start Date	04/01/2024
Relationship End Date	99/99/9999
Number Of Items In Ndc Package	10
Ndc Package Measure	EA
Ndc Package Type
Route Of Administration	IV
Billing Units	EA