| Source NDC Code |
|
Target HCPCS Code |
00074-1539-03
HUMIRA PEN PSOR-UVEI 80MG-4
|
⇄
|
J0135
Injection, adalimumab, 20 mg
|
| Detail Information |
| Relationship Start Date |
08/06/2018 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
00074-1539-03
HUMIRA(CF) PEN PS-UV-ADOL HS START 80 MG/0.8 ML-40 MG/0.4 ML
|
⇄
|
J0139
Injection, adalimumab, 1 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|