| Source NDC Code |
|
Target HCPCS Code |
57894-0160-01
INFLIXIMAB (SDV,PF,LYOPHILIZED) 100 MG
|
⇄
|
J1745
INJECTION, INFLIXIMAB, EXCLUDES BIOSIMILAR, 10 MG
|
| Detail Information |
| Relationship Start Date |
11/19/2021 |
| 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 |
|
|
|
57894-0160-01
Infliximab
|
⇄
|
J1745
Infliximab not biosimil 10mg
|
| 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 |
|
|
|
|