| Source HCPCS Code |
|
Target NDC Code |
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-7512-01
HUMALOG MIX 50-50 VIAL
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-7516-01
HUMALOG 100 UNITS/ML CARTRIDGE
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CARTRIDGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-7516-59
HUMALOG 100 UNITS/ML CARTRIDGE
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CARTRIDGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-7712-01
HUMALOG 200 UNITS/ML KWIKPE
|
| Detail Information |
| Relationship Start Date |
07/17/2015 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-7712-27
HUMALOG 200 UNITS/ML KWIKPE
|
| Detail Information |
| Relationship Start Date |
07/17/2015 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-7728-01
LYUMJEV 100 UNIT/ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/07/2020 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-8797-01
HUMALOG MIX 75-25 KWIKPEN
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-8797-59
HUMALOG MIX 75-25 KWIKPEN
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-8798-01
HUMALOG MIX 50-50 KWIKPEN
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-8798-59
HUMALOG MIX 50-50 KWIKPEN
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00002-8799-01
HUMALOG 100 UNITS/ML KWIKPEN
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00024-5924-10
ADMELOG 100 UNIT/ML VIAL
|
| Detail Information |
| Relationship Start Date |
02/28/2018 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00024-5925-05
ADMELOG SOLOSTAR 100 UNIT/M
|
| Detail Information |
| Relationship Start Date |
02/28/2018 |
| Relationship End Date |
02/29/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00024-5926-05
ADMELOG 100 UNIT/ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/29/2019 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00088-2500-33
APIDRA 100 UNITS/ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00088-2502-00
APIDRA SOLOSTAR 100 UNIT/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00088-2502-05
APIDRA SOLOSTAR 100 UNITS/ML
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-2100-11
RELION NOVOLOG 100 UNIT/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-2101-12
RELION NOVOLOG U-100 FLEXPE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-2101-25
RELION NOVOLOG U-100 FLEXPE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-3201-11
FIASP 100 UNIT/ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/29/2018 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-3204-15
FIASP 100 UNIT/ML FLEXTOUCH
|
| Detail Information |
| Relationship Start Date |
01/29/2018 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-3303-12
NOVOLOG 100 UNIT/ML CARTRIDGE
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CARTRIDGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-3685-12
NOVOLOG MIX 70-30 VIAL
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-3696-19
NOVOLOG MIX 70-30 FLEXPEN SYRN
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-6339-10
NOVOLOG FLEXPEN SYRINGE
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
00169-7501-11
NOVOLOG 100 UNIT/ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
S5551
Insulin, most rapid onset (lispro or aspart); 5 units
|
⇄
|
73070-0100-11
INSULIN ASPART 100 UNIT/ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/2026 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|