| Source HCPCS Code |
|
Target NDC Code |
J0652
INJECTION, LEVOTHYROXINE SODIUM (HIKMA) NOT THERAPEUTICALLY EQUIVALENT TO J0650, 10 MCG
|
⇄
|
24201-0002-01
LEVOTHYROXINE SODIUM (SDV,PF,LATEX-FREE) 100 MCG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0652
Inj, levothyroxine, hikma
|
⇄
|
24201-0002-01
Levothyroxine Sodium
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
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| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|