| Source HCPCS Code |
|
Target NDC Code |
Q5104
INJECTION, INFLIXIMAB-ABDA, (RENFLEXIS), 10 MG
|
⇄
|
00006-4305-01
RENFLEXIS 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5104
INJECTION, INFLIXIMAB-ABDA, BIOSIMILAR, (RENFLEXIS), 10 MG
|
⇄
|
00006-4305-02
RENFLEXIS (PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5104
INJECTION, INFLIXIMAB-ABDA, BIOSIMILAR, (RENFLEXIS), 10 MG
|
⇄
|
78206-0162-01
RENFLEXIS (PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5104
INJECTION, INFLIXIMAB-ABDA, (RENFLEXIS), 10 MG
|
⇄
|
78206-0162-99
RENFLEXIS 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
08/23/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5104
Injection, renflexis
|
⇄
|
00006-4305-02
Renflexis
|
| 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 |
|
|
|
|
Q5104
Injection, renflexis
|
⇄
|
78206-0162-01
Renflexis
|
| 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 |
|
|
|
|