NDC 58406-0456-04 To HCPCS Mapping

NDC “58406-0456-04” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code

Target HCPCS Code

58406-0456-04
ENBREL (MINI,PF) 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	11/17/2017
Relationship End Date	12/31/2021
Number Of Items In Ndc Package	0.98
Ndc Package Measure	ML
Ndc Package Type	BX
Route Of Administration	SC
Billing Units	ML