| Source HCPCS Code |
|
Target NDC Code |
J1726
INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG
|
⇄
|
64011-0247-02
MAKENA 250 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1726
INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG
|
⇄
|
64011-0301-03
MAKENA (PF) 275 MG/1.1 ML
|
| Detail Information |
| Relationship Start Date |
02/14/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1.1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|