| Source NDC Code |
|
Target HCPCS Code |
76125-0900-25
GAMMAKED 2.5 GRAM/25 ML VIAL
|
⇄
|
90284
Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
|
| Detail Information |
| Relationship Start Date |
12/29/2010 |
| Relationship End Date |
01/01/2021 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
76125-0900-25
GAMMAKED 2.5 GRAM/25 ML VIAL
|
⇄
|
J1561
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...
|
| Detail Information |
| Relationship Start Date |
07/15/2017 |
| Relationship End Date |
01/01/2021 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|