| Source NDC Code |
|
Target HCPCS Code |
65219-0620-20
ADALIMUMAB-AACF(CF) 40 MG/0.8 ML SYRINGE
|
⇄
|
Q5131
Injection, adalimumab-aacf (idacio), biosimilar, 20 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
65219-0620-20
ADALIMUMAB-AACF(CF) 40 MG/0.8 ML SYRINGE
|
⇄
|
Q5144
Injection, adalimumab-aacf (idacio), biosimilar, 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 |
ML |
|
|
|