| Source NDC Code |
|
Target HCPCS Code |
73648-0113-03
RYONCIL 3 VIALS; 3 ALCOHOL WIPES,CRYOPRESERVED
|
⇄
|
J3402
INJECTION, REMESTEMCEL-L-RKND, PER THERAPEUTIC DOSE
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
73648-0113-03
RYONCIL 25 KG-LESS THAN 37.5KG
|
⇄
|
J3590
Unclassified biologics
|
| Detail Information |
| Relationship Start Date |
07/30/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
73648-0113-03
Ryoncil
|
⇄
|
J3402
Inj. remestemcel-l-rknd/ td
|
| 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 |
|
|
|
|