| Source NDC Code |
|
Target HCPCS Code |
82705-0002-01
EPKINLY 4 MG/0.8 ML VIAL
|
⇄
|
C9155
Inj, epcoritamab-bysp, 0.16 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
82705-0002-01
EPKINLY (PF,LATEX-FREE) 4 MG/0.8 ML
|
⇄
|
J9321
INJECTION, EPCORITAMAB-BYSP, 0.16 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
82705-0002-01
EPKINLY 4 MG/0.8 ML VIAL
|
⇄
|
J9999
Not Otherwise Classified, Antineoplastic Drugs
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
82705-0002-01
EPKINLY
|
⇄
|
J9321
Inj epcoritamab-bysp 0.16 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 |
|
|
|
|