| Source HCPCS Code |
|
Target NDC Code |
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0022-06
ADALIMUMAB-AATY 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0022-09
ADALIMUMAB-AATY AUTOINJECTOR 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0022-10
ADALIMUMAB-AATY AUTOINJECTOR 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0023-04
YUFLYMA AUTOINJECTOR 80 MG/0.8 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0023-07
YUFLYMA STARTER PACK CROHN'S/UC/HS STARTER PACK CROHN'S,UC;HS 80 MG/0.8 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0024-01
YUFLYMA PFS 20 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0030-06
YUFLYMA PFS WITH SAFETY GUARD 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0030-09
YUFLYMA AUTOINJECTOR 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0030-10
YUFLYMA AUTOINJECTOR 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0040-04
ADALIMUMAB-AATY AUTOINJECTOR 80MG/0.8ML 40 MG/0.4 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0040-06
ADALIMUMAB-AATY STARTER PACK 80 MG/0.8 ML
|
| Detail Information |
| Relationship Start Date |
03/17/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
Q5141
INJECTION, ADALIMUMAB-AATY, BIOSIMILAR, 1 MG
|
⇄
|
72606-0041-01
ADALIMUMAB-AATY PFS 20 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|