| Source HCPCS Code |
|
Target NDC Code |
J1814
Insulin (lyumjev), per 5 units
|
⇄
|
00002-7728-01
LYUMJEV 100 UNIT/ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0000010.000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1814
Insulin (lyumjev), per 5 units
|
⇄
|
00002-8207-01
LYUMJEV 100 UNIT/ML KWIKPEN
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1814
INSULIN (LYUMJEV), PER 5 UNITS
|
⇄
|
00002-8207-05
LYUMJEV KWIKPEN U-100 100 U/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PN |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1814
Insulin (lyumjev), per 5 units
|
⇄
|
00002-8228-01
LYUMJEV 200 UNIT/ML KWIKPEN
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1814
Insulin (lyumjev), per 5 units
|
⇄
|
00002-8228-27
LYUMJEV 200 UNIT/ML KWIKPEN
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1814
Insulin (lyumjev), per 5 units
|
⇄
|
00002-8235-01
LYUMJEV TEMPO PEN 100 UNIT/
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1814
Insulin (lyumjev), per 5 units
|
⇄
|
00002-8235-05
LYUMJEV TEMPO PEN 100 UNIT/
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|