| Source NDC Code |
|
Target HCPCS Code |
82829-0002-01
IZERVAY 2 MG/0.1 ML VIAL
|
⇄
|
C9162
Injection, avacincaptad pegol, 0.1 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
82829-0002-01
IZERVAY (PF) 2 MG/0.1 ML
|
⇄
|
J2782
INJECTION, AVACINCAPTAD PEGOL, 0.1 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
82829-0002-01
IZERVAY 2 MG/0.1 ML VIAL
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
82829-0002-01
Izervay
|
⇄
|
J2782
Inj avacincaptad pegol 0.1mg
|
| 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 |
|
|
|
|