| Source HCPCS Code |
|
Target NDC Code |
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
00009-0347-02
DEPO-TESTOSTERONE (VIAL) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
00781-3073-70
TESTOSTERONE CYPIONATE (USP,MDV) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/17/2006 |
| Relationship End Date |
11/30/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
35356-0058-10
DEPO-TESTOSTERONE 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
11/9/2007 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
38779-0164-03
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
38779-0164-04
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
38779-0164-05
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
38779-0164-08
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
4/30/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
38779-0164-09
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
49452-7660-01
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
49452-7660-02
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
49452-7660-03
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
51552-0104-02
TESTOSTERONE CYPIONATE (U.S.P.,N.F.)
|
| Detail Information |
| Relationship Start Date |
9/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
|
⇄
|
51552-0104-04
|
| 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 |
|
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
51552-0104-05
TESTOSTERONE CYPIONATE (U.S.P.,N.F.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
51927-2706-00
TESTOSTERONE CYPIONATE (U.S.P.; CIII)
|
| Detail Information |
| Relationship Start Date |
9/8/2003 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
53409-0013-06
TESTOSTERONE CYPIONATE (BULK FOR COMPOUNDING)
|
| Detail Information |
| Relationship Start Date |
11/13/2002 |
| Relationship End Date |
2/1/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
53409-0013-08
TESTOSTERONE CYPIONATE (BULK FOR COMPOUNDING)
|
| Detail Information |
| Relationship Start Date |
11/13/2002 |
| Relationship End Date |
2/1/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
54569-5301-00
DEPO-TESTOSTERONE (VIAL) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/9/2002 |
| 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 |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
54868-0796-00
DEPO-TESTOSTERONE 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/21/2004 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1070
|
⇄
|
62756-0017-40
|
| 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 |
|
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
62991-1707-01
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
62991-1707-02
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
62991-1707-03
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
62991-1707-04
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
62991-1707-05
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
10/31/2011 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
63275-9982-04
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
12/4/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
63275-9982-05
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
12/4/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
63275-9982-09
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
12/4/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
63370-0980-25
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
63370-0980-35
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1070
INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG
|
⇄
|
63370-0980-50
TESTOSTERONE CYPIONATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|