| Source NDC Code |
|
Target HCPCS Code |
00074-3799-02
HUMIRA (PF,PREFILLED SYRINGE) 40 MG/0.8 ML
|
⇄
|
J0135
INJECTION, ADALIMUMAB, 20 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
00074-3799-02
HUMIRA (PF,PREFILLED SYRINGE) 40 MG/0.8 ML
|
⇄
|
J3590
UNCLASSIFIED BIOLOGICS
|
| Detail Information |
| Relationship Start Date |
1/2/2003 |
| Relationship End Date |
12/31/2004 |
| Number Of Items In Ndc Package |
0.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
00074-3799-02
Humira
|
⇄
|
J0135
Adalimumab injection
|
| 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 |
|
|
|
|