| Source HCPCS Code |
|
Target NDC Code |
J0490
Injection, belimumab, 10 mg
|
⇄
|
49401-0088-01
BENLYSTA 200 MG/ML AUTOINJE
|
| Detail Information |
| Relationship Start Date |
08/14/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J0490
Injection, belimumab, 10 mg
|
⇄
|
49401-0088-35
BENLYSTA 200 MG/ML AUTOINJE
|
| Detail Information |
| Relationship Start Date |
08/14/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J0490
Injection, belimumab, 10 mg
|
⇄
|
49401-0088-42
BENLYSTA 200 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
08/14/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J0490
Injection, belimumab, 10 mg
|
⇄
|
49401-0088-47
BENLYSTA 200 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
08/14/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J0490
Injection, belimumab, 10 mg
|
⇄
|
49401-0101-01
BENLYSTA 120 MG VIAL
|
| Detail Information |
| Relationship Start Date |
02/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0490
Injection, belimumab, 10 mg
|
⇄
|
49401-0102-01
BENLYSTA 400 MG VIAL
|
| Detail Information |
| Relationship Start Date |
02/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0490
Belimumab injection
|
⇄
|
49401-0101-01
BENLYSTA
|
| 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 |
|
|
|
|
J0490
Belimumab injection
|
⇄
|
49401-0102-01
BENLYSTA
|
| 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 |
|
|
|
|