| Source HCPCS Code |
|
Target NDC Code |
J1602
Injection, golimumab, 1 mg, for intravenous use
|
⇄
|
57894-0070-01
SIMPONI 50 MG/0.5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1602
Injection, golimumab, 1 mg, for intravenous use
|
⇄
|
57894-0070-02
SIMPONI 50 MG/0.5 ML PEN INJEC
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1602
Injection, golimumab, 1 mg, for intravenous use
|
⇄
|
57894-0071-01
SIMPONI 100 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| 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 |
|
|
|
J1602
Injection, golimumab, 1 mg, for intravenous use
|
⇄
|
57894-0071-02
SIMPONI 100 MG/ML PEN INJECTOR
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| 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 |
|
|
|
J1602
Injection, golimumab, 1 mg, for intravenous use
|
⇄
|
57894-0350-01
SIMPONI ARIA 50 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1602
Golimumab for iv use 1mg
|
⇄
|
57894-0350-01
SIMPONI ARIA
|
| 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 |
|
|
|
|