| Source HCPCS Code |
|
Target NDC Code |
J9277
INJECTION, PEMBROLIZUMAB, 1 MG AND BERAHYALURONIDASE ALFA-PMPH
|
⇄
|
00006-3083-01
Keytruda Qlex SDV 4800U-395MG/2.4ML
|
| Detail Information |
| Relationship Start Date |
04/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9277
Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph
|
⇄
|
00006-3083-99
KEYTRUDA QLEX 395 MG-4,800 UNIT/2.4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9277
INJECTION, PEMBROLIZUMAB, 1 MG AND BERAHYALURONIDASE ALFA-PMPH
|
⇄
|
00006-5083-01
Keytruda Qlex SDV 9600U-790MG/4.8ML
|
| Detail Information |
| Relationship Start Date |
04/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9277
Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph
|
⇄
|
00006-5083-99
KEYTRUDA QLEX 790 MG-9,600 UNIT/4.8 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9277
Pembrolizumab 1mg berahyalur
|
⇄
|
00006-3083-01
Keytruda Qlex
|
| 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 |
|
|
|
|
J9277
Pembrolizumab 1mg berahyalur
|
⇄
|
00006-5083-01
Keytruda Qlex
|
| 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 |
|
|
|
|