NDC 58406-0010-01 To HCPCS Mapping

NDC “58406-0010-01” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code

Target HCPCS Code

58406-0010-01
ENBREL (25MG/0.5ML PREFILL SYR) 50 MG/1 ML

J1438
INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)

Detail Information

Relationship Start Date	08/05/2019
Relationship End Date	99/99/9999
Number Of Items In Ndc Package	0.5
Ndc Package Measure	ML
Ndc Package Type	SR
Route Of Administration	SC
Billing Units	ML