| Source HCPCS Code |
|
Target NDC Code |
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
00143-9381-01
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
00143-9381-10
DOXYCYCLINE USP, SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
16714-0644-01
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
03/31/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
16714-0644-10
DOXYCYCLINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
42023-0244-01
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
42023-0244-10
DOXYCYCLINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
43598-0086-11
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
07/28/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
43598-0086-58
DOXYCYCLINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
07/09/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
63323-0130-02
DOXY 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
63323-0130-03
DOXY 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
63323-0130-11
DOXY 100 VIAL 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
63323-0130-13
DOXY 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
63323-0130-17
DOXY 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
63323-0130-41
DOXY 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
66794-0237-02
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
66794-0237-41
DOXYCYCLINE LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
67457-0437-00
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
67457-0437-10
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
68382-0910-01
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
68382-0910-10
DOXYCYCLINE LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
70436-0032-35
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
70436-0032-82
DOXYCYCLINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
70748-0338-01
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
70748-0338-10
DOXYCYCLINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
71288-0030-20
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
71288-0030-21
DOXYCYCLINE USP, SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
72266-0237-01
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
⇄
|
72266-0237-05
DOXYCYCLINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
83634-0111-20
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
05/29/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Injection, doxycycline hyclate, 1 mg
|
⇄
|
83634-0111-41
DOXYCYCLINE HYCLATE 100 MG VL
|
| Detail Information |
| Relationship Start Date |
05/29/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
83634-0111-20
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
43598-0086-58
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
42023-0244-10
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
72266-0237-05
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
63323-0130-11
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
63323-0130-13
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
63323-0130-17
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
00404-9855-99
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
51662-1402-01
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
51662-1402-03
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
00143-9381-10
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
70748-0338-10
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
71288-0030-21
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
67457-0437-10
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
66794-0237-41
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
70436-0032-82
Doxycycline Hyclate
|
| 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 |
|
|
|
|
J1271
Inj doxycycline hyclate 1 mg
|
⇄
|
68382-0910-10
Doxycycline Hyclate
|
| 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 |
|
|
|
|