| Source NDC Code |
|
Target HCPCS Code |
83457-0243-02
HUMIRA (PF,LATEX-FREE) 40 MG/0.4 ML
|
⇄
|
J0135
INJECTION, ADALIMUMAB, 20 MG
|
| Detail Information |
| Relationship Start Date |
02/19/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
83457-0243-02
HUMIRA 40 MG/0.4 ML
|
⇄
|
J0139
INJECTION, ADALIMUMAB, 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|