| Source HCPCS Code |
|
Target NDC Code |
J3358
USTEKINUMAB, FOR INTRAVENOUS INJECTION, 1 MG
|
⇄
|
57894-0054-27
STELARA (SDV,PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
26 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3358
Ustekinumab, for intravenous injection, 1 mg
|
⇄
|
57894-0444-01
USTEKINUMAB 130 MG/26 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
26 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3358
Ustekinumab, iv inject, 1 mg
|
⇄
|
57894-0054-27
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 |
|
|
|
|
J3358
Ustekinumab, iv inject, 1 mg
|
⇄
|
57894-0444-01
Ustekinumab
|
| 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 |
|
|
|
|