| Source HCPCS Code |
|
Target NDC Code |
J3357
USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG
|
⇄
|
57894-0054-27
STELARA (SDV,PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
9/27/2016 |
| Relationship End Date |
12/31/2016 |
| Number Of Items In Ndc Package |
26 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3357
USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG
|
⇄
|
57894-0060-02
STELARA (PF) 45 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J3357
USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG
|
⇄
|
57894-0060-03
STELARA (1X0.5ML,SINGLE DOSE) 45 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| 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 |
|
|
|
J3357
|
⇄
|
57894-0061-02
|
| 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 |
|
|
|
|
J3357
Injection, ustekinumab, 1 mg
|
⇄
|
57894-0061-03
STELARA 90 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| 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 |
|
|
|
J3357
Ustekinumab sub cu inj, 1 mg
|
⇄
|
57894-0060-02
STELARA
|
| 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 |
|
|
|
|
J3357
Ustekinumab sub cu inj, 1 mg
|
⇄
|
57894-0060-03
STELARA
|
| 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 |
|
|
|
|
J3357
Ustekinumab sub cu inj, 1 mg
|
⇄
|
57894-0061-03
STELARA
|
| 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 |
|
|
|
|