| Source NDC Code |
|
Target HCPCS Code |
80203-0347-01
ENJAYMO 1,100 MG/22 ML VIAL
|
⇄
|
C9094
Inj, sutimlimab-jome, 10 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2022 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
22 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
80203-0347-01
ENJAYMO 1,100 MG/22 ML VIAL
|
⇄
|
J1302
Injection, sutimlimab-jome, 10 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
22 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
80203-0347-01
ENJAYMO 1,100 MG/22 ML VIAL
|
⇄
|
J3590
Unclassified Biologics
|
| Detail Information |
| Relationship Start Date |
03/16/2022 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
22 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
80203-0347-01
Enjaymo
|
⇄
|
J1302
Inj, sutimlimab-jome, 10 mg
|
| 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 |
|
|
|
|