| Source HCPCS Code |
|
Target NDC Code |
J1073
Testosterone pellet, implant, 75 mg
|
⇄
|
66887-0004-01
TESTOPEL 75 MG PELLETS
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IL |
| Billing Units |
EA |
|
|
|
J1073
Testosterone pellet, implant, 75 mg
|
⇄
|
66887-0004-10
TESTOPEL 75 MG PELLETS
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
IL |
| Billing Units |
EA |
|
|
|
J1073
Testosterone pellet, implant, 75 mg
|
⇄
|
66887-0004-20
TESTOPEL 75 MG PELLETS
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
IL |
| Billing Units |
EA |
|
|
|
J1073
Testosterone pellet 75 mg
|
⇄
|
66887-0004-10
Testopel
|
| 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 |
|
|
|
|
J1073
Testosterone pellet 75 mg
|
⇄
|
66887-0004-20
Testopel
|
| 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 |
|
|
|
|