| Source HCPCS Code |
|
Target NDC Code |
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0040-62
XOLAIR 150 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0040-86
XOLAIR 150 MG
|
| Detail Information |
| Relationship Start Date |
12/20/2013 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0214-01
XOLAIR (PF) 75 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
12/03/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0214-03
XOLAIR PFS 75 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
04/11/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SY |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0214-55
XOLAIR AUTOINJECTOR (PF) 75 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
02/26/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PN |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0215-01
XOLAIR (PF) 75 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
12/03/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0215-03
XOLAIR PFS 150 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/11/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SY |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0215-55
XOLAIR AUTOINJECTOR (PF) 150 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/26/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PN |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0215-86
XOLAIR (SD,PF) 150 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/03/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0227-01
XOLAIR PFS (PF) 150 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/26/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
INJECTION, OMALIZUMAB, 5 MG
|
⇄
|
50242-0227-55
XOLAIR AUTOINJECTOR (PF) 150 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/26/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PN |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0040-62
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0214-01
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0214-03
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0214-55
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0215-01
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0215-03
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0215-55
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0227-01
Xolair
|
| 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 |
|
|
|
|
J2357
Omalizumab injection
|
⇄
|
50242-0227-55
Xolair
|
| 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 |
|
|
|
|