| Source NDC Code |
|
Target HCPCS Code |
00069-0809-01
INFLECTRA (SDV,PF) 100 MG
|
⇄
|
Q5102
INJECTION, INFLIXIMAB, BIOSIMILAR, 10 MG
|
| Detail Information |
| Relationship Start Date |
10/17/2016 |
| Relationship End Date |
03/31/2018 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00069-0809-01
INFLECTRA (SDV,PF) 100 MG
|
⇄
|
Q5103
INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 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 |
|
|
|
00069-0809-01
Inflectra
|
⇄
|
Q5103
Injection, inflectra
|
| 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 |
|
|
|
|