| Source NDC Code |
|
Target HCPCS Code |
00002-8011-01
OMVOH 100 MG/ML PEN
|
⇄
|
C9168
Injection, mirikizumab-mrkz, 1 mg
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
00002-8011-01
OMVOH 100 MG/ML PEN
|
⇄
|
J2267
Injection, mirikizumab-mrkz, 1 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
00002-8011-01
OMVOH 100 MG/ML PEN
|
⇄
|
J3590
Unclassified biologics
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|