| Source HCPCS Code |
|
Target NDC Code |
J1051
INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG
|
⇄
|
00009-0626-01
DEPO-PROVERA (VIAL) 400 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
12/31/2012 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1051
|
⇄
|
00009-0626-02
|
| 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 |
|
|
|
|
J1051
INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG
|
⇄
|
00009-4709-01
DEPO-SUBQ PROVERA 104 (PRE-FILLED W/NEEDLE) 104 MG/0.65 ML
|
| Detail Information |
| Relationship Start Date |
4/6/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
0.65 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1051
|
⇄
|
51552-0790-01
|
| 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 |
|
|
|
|
J1051
INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG
|
⇄
|
54569-3957-00
DEPO-PROVERA (VIAL) 400 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1051
INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG
|
⇄
|
54569-3958-00
DEPO-PROVERA (VIAL) 400 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1051
INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG
|
⇄
|
54868-3348-01
DEPO-PROVERA (VIAL) 400 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
12/31/2012 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|