| Source HCPCS Code |
|
Target NDC Code |
C9158
Inj, risperidone, (uzedy), 1 mg
|
⇄
|
51759-0305-10
UZEDY ER 50 MG/0.14 ML SYRI
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.14 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
C9158
Inj, risperidone, (uzedy), 1 mg
|
⇄
|
51759-0410-10
UZEDY ER 75 MG/0.21 ML SYRI
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.21 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
C9158
Inj, risperidone, (uzedy), 1 mg
|
⇄
|
51759-0520-10
UZEDY ER 100 MG/0.28 ML SYR
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.28 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
C9158
Inj, risperidone, (uzedy), 1 mg
|
⇄
|
51759-0630-10
UZEDY ER 125 MG/0.35 ML SYR
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.35 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
C9158
Inj, risperidone, (uzedy), 1 mg
|
⇄
|
51759-0740-10
UZEDY ER 150 MG/0.42 ML SYR
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.42 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
C9158
Inj, risperidone, (uzedy), 1 mg
|
⇄
|
51759-0850-10
UZEDY ER 200 MG/0.56 ML SYR
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.56 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
C9158
Inj, risperidone, (uzedy), 1 mg
|
⇄
|
51759-0960-10
UZEDY ER 250 MG/0.7 ML SYRI
|
| Detail Information |
| Relationship Start Date |
10/01/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
0.7 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|