| Source NDC Code |
|
Target HCPCS Code |
72893-0004-01
KHAPZORY (PF,LYOPHILIZED) 175 MG
|
⇄
|
J0642
INJECTION, LEVOLEUCOVORIN (KHAPZORY), 0.5 MG
|
| Detail Information |
| Relationship Start Date |
05/12/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
72893-0004-01
Khapzory
|
⇄
|
J0642
Injection, khapzory, 0.5 mg
|
| 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 |
|
|
|
|