| Source NDC Code |
|
Target HCPCS Code |
73554-2111-01
SKYSONA CRYOPRESERVED
|
⇄
|
J3387
INJECTION, ELIVALDOGENE AUTOTEMCEL, PER TREATMENT
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
73554-2111-01
SKYSONA INFUSION BAG-CASSET
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
73554-2111-01
Skysona
|
⇄
|
J3387
Inj elivaldogene autotemecel
|
| 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 |
|
|
|
|