| Source HCPCS Code |
|
Target NDC Code |
Q9999
Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg
|
⇄
|
65219-0824-01
OTULFI 45 MG/0.5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
Q9999
Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg
|
⇄
|
65219-0826-26
OTULFI 90 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| 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 |
|
|
|
Q9999
Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg
|
⇄
|
65219-0828-05
OTULFI 130 MG/26 ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| 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 |
|
|
|
Q9999
Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg
|
⇄
|
65219-0862-01
USTEKINUMAB-AAUZ 45 MG/0.5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
Q9999
Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg
|
⇄
|
65219-0866-26
USTEKINUMAB-AAUZ 90 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| 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 |
|
|
|
Q9999
Inj ustekinumab-aauz 1 mg
|
⇄
|
65219-0824-01
Otulfi
|
| 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 |
|
|
|
|
Q9999
Inj ustekinumab-aauz 1 mg
|
⇄
|
65219-0826-26
Otulfi
|
| 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 |
|
|
|
|
Q9999
Inj ustekinumab-aauz 1 mg
|
⇄
|
65219-0828-05
Otulfi
|
| 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 |
|
|
|
|
Q9999
Inj ustekinumab-aauz 1 mg
|
⇄
|
65219-0862-01
Ustekinumab-AAUZ
|
| 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 |
|
|
|
|
Q9999
Inj ustekinumab-aauz 1 mg
|
⇄
|
65219-0866-26
Ustekinumab-AAUZ
|
| 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 |
|
|
|
|