| Source HCPCS Code |
|
Target NDC Code |
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-1283-03
HYDROMORPHONE 1 MG/ML CARPUJCT
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CARTRIDGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-1283-17
HYDROMORPHONE 1 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-1283-31
HYDROMORPHONE HCL (LUER LOCK,10X1ML) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-1283-37
HYDROMORPHONE HCL (NEXJECT,LATEX-FREE) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-1304-03
HYDROMORPHONE 4 MG/ML CARPUJCT
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CARTRIDGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-1304-31
HYDROMORPHONE HCL (LUER LOCK,10X1ML) 4 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-1312-03
HYDROMORPHONE 2 MG/ML CARPUJCT
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CARTRIDGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-1312-16
HYDROMORPHONE 2 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-1312-30
HYDROMORPHONE HCL (10X1ML,LLK,SLIM PK) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-1312-36
HYDROMORPHONE HCL (10X1ML;NEXJECT) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-1805-01
HYDROMORPHONE HCL (NEXJECT,LATEX-FREE) 0.25 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-2552-01
HYDROMORPHONE HCL (USP,10X1ML) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
10/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-2552-11
HYDROMORPHONE HCL 1 MG/ML AMP
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
10/02/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-01
HYDROMORPHONE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-05
HYDROMORPHONE 50 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-10
HYDROMORPHONE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-25
HYDROMORPHONE 50 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-50
HYDROMORPHONE 500 MG/50 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-3365-10
HYDROMORPHONE HCL (10X1ML;SD,LATEX-FREE) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-3365-11
HYDROMORPHONE 2 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00409-4264-01
HYDROMORPHONE HCL (SDS) 0.5 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00409-4264-11
HYDROMORPHONE 0.5 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00641-2341-39
HYDROMORPHONE 2 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00641-2341-41
HYDROMORPHONE HCL (M.D.V., USP) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00641-6151-01
HYDROMORPHONE 2 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00641-6151-25
HYDROMORPHONE HCL (PF,LATEX-FREE) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00641-6169-01
HYDROMORPHONE 1 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00641-6169-10
HYDROMORPHONE HCL (SD PREFILLED SYRINGE) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00641-6206-01
HYDROMORPHONE 0.5 MG/0.5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00641-6206-10
HYDROMORPHONE HCL (PFS,PF) 0.5 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00641-6254-01
HYDROMORPHONE HCL 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/13/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00641-6259-01
HYDROMORPHONE 0.2 MG/ML SYRING
|
| Detail Information |
| Relationship Start Date |
10/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
00641-6259-10
HYDROMORPHONE HCL SD PREFILLED SYRINGE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/07/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SY |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00703-0018-01
HYDROMORPHONE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00703-0110-01
HYDROMORPHONE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00703-0110-03
HYDROMORPHONE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00703-0113-01
HYDROMORPHONE 50 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
00703-0113-03
HYDROMORPHONE 50 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
63323-0851-03
HYDROMORPHONE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
63323-0851-07
HYDROMORPHONE 50 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
63323-0851-10
HYDROMORPHONE HCL (PF,LATEX-FREE) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
63323-0851-15
HYDROMORPHONE HCL (PF,LATEX-FREE) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
63323-0851-50
HYDROMORPHONE HCL (PF,LATEX-FREE) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
63323-0852-03
HYDROMORPHONE 1 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
63323-0852-25
HYDROMORPHONE HCL (PF,LATEX-FREE) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
63323-0853-03
HYDROMORPHONE 2 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
63323-0853-25
HYDROMORPHONE HCL (PF,LATEX-FREE) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
63323-0854-03
HYDROMORPHONE 4 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
63323-0854-10
HYDROMORPHONE HCL (PF,LATEX-FREE) 4 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0111-48
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0112-49
HYDROMORPHONE HCL-SODIUM CHLORIDE (MONOJECT SYRINGE,PF) 0.2 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0113-79
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0114-50
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0117-79
HYDROMORPHONE HCL-SODIUM CHLORIDE (PCA,PF,SULFITE-FREE) 1 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0118-50
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 1 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0166-48
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0290-49
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.5 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0293-49
HYDROMORPHONE HCL-SODIUM CHLORIDE (MONOJECT BARREL,PF) 1 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0405-50
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.5 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0532-43
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 1 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| 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 |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0686-48
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.5 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/10/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
70092-0687-48
HYDROMORPHONE HCL-SODIUM CHLORIDE 1 MG/1 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
10/10/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
76045-0009-01
DILAUDID 1 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
76045-0009-06
SIMPLIST DILAUDID (MICROVAULT,PF) 0.5 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
76045-0009-11
SIMPLIST DILAUDID (MICROVAULT,PF) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
76045-0009-96
DILAUDID 0.5 MG/0.5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
76045-0010-01
DILAUDID 2 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
76045-0010-11
SIMPLIST DILAUDID (MICROVAULT,PF) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Injection, hydromorphone, 0.1 mg
|
⇄
|
76045-0121-01
DILAUDID 0.2 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
⇄
|
76045-0121-11
SIMPLIST DILAUDID (MICROVAULT,PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
63323-0851-10
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
63323-0851-15
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
63323-0851-50
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
63323-0852-25
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
63323-0853-25
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
63323-0854-10
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
76045-0009-06
Dilaudid
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
76045-0009-11
Dilaudid
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
76045-0010-11
Dilaudid
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
76045-0121-11
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00641-2341-41
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00641-6151-25
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00641-6169-10
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00641-6206-10
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00641-6259-10
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-1283-31
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-1283-37
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-1304-31
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-1312-30
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-1312-36
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-1805-01
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-01
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-05
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-2634-50
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-3365-10
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00409-4264-01
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00703-0018-01
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00703-0110-03
Hydromorphone HCl
|
| 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 |
|
|
|
|
J1171
Inj, hydromorphone, 0.1 mg
|
⇄
|
00703-0113-03
Hydromorphone HCl
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
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| Route Of Administration |
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| Billing Units |
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