| Source HCPCS Code |
|
Target NDC Code |
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
00088-1153-30
COPAXONE (30 SRN,PREFILLED,PF) 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2004 |
| Relationship End Date |
4/27/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
DP |
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
00378-6960-32
GLATIRAMER 20 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/04/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
00378-6960-93
GLATIRAMER ACETATE 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/04/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
00378-6961-12
GLATIRAMER ACETATE 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/04/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
00378-6961-32
GLATIRAMER 40 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
10/04/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
00781-3234-34
GLATOPA 20 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
06/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
00781-3234-71
GLATOPA 20 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
06/18/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
00781-3250-71
GLATOPA 40 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
03/23/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
00781-3250-89
GLATOPA 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/27/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
47335-0990-02
GLATIRAMER ACETATE ONCE DAILY 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
47335-0991-02
GLATIRAMER ACETATE THREE TIMES A WEEK 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
68115-0750-30
COPAXONE (30 SRN,PREFILLED,PF) 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
3/29/2004 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
DP |
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
68546-0317-30
COPAXONE 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
04/28/2008 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
DP |
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
68546-0325-12
COPAXONE 40 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
70710-1548-02
GLATIRAMER 20 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
12/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
70710-1548-09
GLATIRAMER ACETATE ONCE DAILY 20 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/21/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SY |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1595
Injection, glatiramer acetate, 20 mg
|
⇄
|
70710-1549-02
GLATIRAMER 40 MG/ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
12/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J1595
INJECTION, GLATIRAMER ACETATE, 20 MG
|
⇄
|
70710-1549-06
GLATIRAMER ACETATE THREE TIMES A WEEK 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/21/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SY |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|