| Source HCPCS Code |
|
Target NDC Code |
J0402
INJECTION, ARIPIPRAZOLE (ABILIFY ASIMTUFII), 1 MG
|
⇄
|
59148-0102-80
ABILIFY ASIMTUFII 720 MG/2.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0402
INJECTION, ARIPIPRAZOLE (ABILIFY ASIMTUFII), 1 MG
|
⇄
|
59148-0114-80
ABILIFY ASIMTUFII 960 MG/3.2 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0402
Inj, abilify asimtufii, 1 mg
|
⇄
|
59148-0102-80
Abilify Asimtufii
|
| 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 |
|
|
|
|
J0402
Inj, abilify asimtufii, 1 mg
|
⇄
|
59148-0114-80
Abilify Asimtufii
|
| 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 |
|
|
|
|