| Source NDC Code |
|
Target HCPCS Code |
76125-0900-50
GAMMAKED 5 GRAM/50 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 |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
76125-0900-50
GAMMAKED (1X50ML, SINGLE-USE) 10%
|
⇄
|
J1561
INJECTION, IMMUNE GLOBULIN, (GAMUNEX/GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G. LIQUID), 500 MG
|
| Detail Information |
| Relationship Start Date |
02/24/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
76125-0900-50
GAMMAKED
|
⇄
|
J1561
Gamunex-c/gammaked
|
| 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 |
|
|
|
|