| Source HCPCS Code |
|
Target NDC Code |
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0640-01
TREMFYA 100 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| 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 |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0640-03
TREMFYA 100 MG/ML PEN
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| 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 |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0640-06
TREMFYA 100 MG/ML PEN
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| 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 |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0640-11
TREMFYA 100 MG/ML INJECTOR
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0650-01
TREMFYA 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/12/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0650-02
TREMFYA 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/12/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0651-01
TREMFYA 200 MG/2 ML PEN
|
| Detail Information |
| Relationship Start Date |
09/12/2024 |
| 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 |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0651-02
TREMFYA 200 MG/2 ML PEN
|
| Detail Information |
| Relationship Start Date |
09/12/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0651-04
TREMFYA 200 MG/2 ML PEN INDCT PK
|
| Detail Information |
| Relationship Start Date |
09/12/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0651-11
TREMFYA 200 MG/2 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
09/12/2024 |
| 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 |
|
|
|
J1628
Injection, guselkumab, 1 mg
|
⇄
|
57894-0651-22
TREMFYA 200 MG/2 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
09/12/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1628
Inj., guselkumab, 1 mg
|
⇄
|
57894-0640-01
Tremfya
|
| 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 |
|
|
|
|
J1628
Inj., guselkumab, 1 mg
|
⇄
|
57894-0640-06
Tremfya
|
| 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 |
|
|
|
|
J1628
Inj., guselkumab, 1 mg
|
⇄
|
57894-0640-11
Tremfya
|
| 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 |
|
|
|
|
J1628
Inj., guselkumab, 1 mg
|
⇄
|
57894-0650-02
Tremfya IV
|
| 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 |
|
|
|
|
J1628
Inj., guselkumab, 1 mg
|
⇄
|
57894-0651-02
Tremfya
|
| 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 |
|
|
|
|
J1628
Inj., guselkumab, 1 mg
|
⇄
|
57894-0651-04
Tremfya
|
| 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 |
|
|
|
|
J1628
Inj., guselkumab, 1 mg
|
⇄
|
57894-0651-22
Tremfya
|
| 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 |
|
|
|
|