| Source HCPCS Code |
|
Target NDC Code |
J2182
INJECTION, MEPOLIZUMAB, 1 MG
|
⇄
|
00173-0881-01
NUCALA (PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2017 |
| 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 |
|
|
|
J2182
INJECTION, MEPOLIZUMAB, 1 MG
|
⇄
|
00173-0892-01
NUCALA AUTOINJECTOR (29G1/2 IN NDLE,PF) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/07/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2182
INJECTION, MEPOLIZUMAB, 1 MG
|
⇄
|
00173-0892-42
NUCALA PFS (29G1/2 IN NDLE,PF) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/07/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2182
INJECTION, MEPOLIZUMAB, 1 MG
|
⇄
|
00173-0904-42
NUCALA PFS (29G1/2INNDLE,PF) 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
06/01/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2182
Injection, mepolizumab, 1mg
|
⇄
|
00173-0881-01
Nucala
|
| 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 |
|
|
|
|