| Source HCPCS Code |
|
Target NDC Code |
J1597
Injection, glycopyrrolate (glyrx-pf), 0.1 mg
|
⇄
|
51754-6000-01
GLYRX-PF 0.2 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1597
INJECTION, GLYCOPYRROLATE (GLYRX-PF), 0.1 MG
|
⇄
|
51754-6000-04
GLYRX-PF (SDV,PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J1597
Injection, glycopyrrolate (glyrx-pf), 0.1 mg
|
⇄
|
51754-6001-01
GLYRX-PF 0.4 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1597
INJECTION, GLYCOPYRROLATE (GLYRX-PF), 0.1 MG
|
⇄
|
51754-6001-04
GLYRX-PF (SDV,PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1597
Injection, glycopyrrolate (glyrx-pf), 0.1 mg
|
⇄
|
51754-6013-01
GLYRX-PF 0.6 MG/3 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
11/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1597
INJECTION, GLYCOPYRROLATE (GLYRX-PF), 0.1 MG
|
⇄
|
51754-6013-03
GLYRX-PF (PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1597
Injection, glycopyrrolate (glyrx-pf), 0.1 mg
|
⇄
|
51754-6015-01
GLYRX-PF 1 MG/5 ML SYRINGE
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J1597
INJECTION, GLYCOPYRROLATE (GLYRX-PF), 0.1 MG
|
⇄
|
51754-6015-03
GLYRX-PF (PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J1597
Inj glycopyrrolate, glyrx-pf
|
⇄
|
51754-6001-04
Glyrx-Pf
|
| 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 |
|
|
|
|
J1597
Inj glycopyrrolate, glyrx-pf
|
⇄
|
51754-6015-03
Glyrx-Pf
|
| 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 |
|
|
|
|