| Source HCPCS Code |
|
Target NDC Code |
J1748
INJECTION, INFLIXIMAB-DYYB (ZYMFENTRA), 10 MG
|
⇄
|
72606-0025-01
ZYMFENTRA PEN (PF,LATEX-FREE) 120 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J1748
INJECTION, INFLIXIMAB-DYYB (ZYMFENTRA), 10 MG
|
⇄
|
72606-0025-02
ZYMFENTRA PEN (2 PENS,PF,LATEX-FREE) 120 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J1748
INJECTION, INFLIXIMAB-DYYB (ZYMFENTRA), 10 MG
|
⇄
|
72606-0025-10
ZYMFENTRA PFS WITH NEEDLE SHIELD (2 SYRINGES W/SHIELD,PF) 120 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|