| Source HCPCS Code |
|
Target NDC Code |
J1747
INJECTION, SPESOLIMAB-SBZO, 1 MG
|
⇄
|
00597-0035-10
SPEVIGO (PF) 60 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
7.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1747
Injection, spesolimab-sbzo, 1 mg
|
⇄
|
00597-0620-10
SPEVIGO 150 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/15/2024 |
| 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 |
|
|
|
J1747
Injection, spesolimab-sbzo, 1 mg
|
⇄
|
00597-0620-20
SPEVIGO 150 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/15/2024 |
| 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 |
|
|
|
J1747
Injection, spesolimab-sbzo, 1 mg
|
⇄
|
00597-7705-38
SPEVIGO 300 MG/2 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/29/2025 |
| 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 |
|
|
|
J1747
Injection, spesolimab-sbzo, 1 mg
|
⇄
|
00597-7705-41
SPEVIGO 300 MG/2 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/29/2025 |
| 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 |
|
|
|
J1747
Injection, spesolimab-sbzo, 1 mg
|
⇄
|
00597-7705-72
SPEVIGO 300 MG/2 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/29/2025 |
| 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 |
|
|
|
J1747
Inj, spesolimab-sbzo, 1 mg
|
⇄
|
00597-0035-10
Spevigo
|
| 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 |
|
|
|
|
J1747
Inj, spesolimab-sbzo, 1 mg
|
⇄
|
00597-0620-20
Spevigo
|
| 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 |
|
|
|
|
J1747
Inj, spesolimab-sbzo, 1 mg
|
⇄
|
00597-7705-41
Spevigo Pfs
|
| 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 |
|
|
|
|
J1747
Inj, spesolimab-sbzo, 1 mg
|
⇄
|
00597-7705-72
Spevigo Pfs
|
| 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 |
|
|
|
|