| Source HCPCS Code |
|
Target NDC Code |
J1930
|
⇄
|
15054-0060-01
|
| 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 |
|
|
|
|
J1930
|
⇄
|
15054-0090-01
|
| 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 |
|
|
|
|
J1930
|
⇄
|
15054-0120-01
|
| 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 |
|
|
|
|
J1930
|
⇄
|
15054-0120-02
|
| 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 |
|
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
15054-1060-03
SOMATULINE DEPOT (1X0.2ML, SINGLE USE) 60 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
01/02/2015 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
0.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
15054-1060-04
SOMATULINE DEPOT (1X0.2ML, SINGLE USE) 60 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
15054-1090-03
SOMATULINE DEPOT (1X0.3ML, SINGLE USE) 90 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
01/02/2015 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
15054-1090-04
SOMATULINE DEPOT (1X0.3ML, SINGLE USE) 90 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
15054-1120-03
SOMATULINE DEPOT (1X0.5ML, SINGLE USE) 120 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
01/02/2015 |
| Relationship End Date |
06/30/2022 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
15054-1120-04
SOMATULINE DEPOT (1X0.5ML, SINGLE USE) 120 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
69097-0870-67
LANREOTIDE (SINGLE USE) 120 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
01/25/2022 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
69097-0906-67
LANREOTIDE (SINGLE USE PFS) 120 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
05/21/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
INJECTION, LANREOTIDE, 1 MG
|
⇄
|
76282-0720-67
LANREOTIDE (SINGLE USE PFS) 120 MG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SY |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1930
Lanreotide injection
|
⇄
|
69097-0906-67
Lanreotide Acetate
|
| 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 |
|
|
|
|
J1930
Lanreotide injection
|
⇄
|
15054-1060-04
Somatuline Depot
|
| 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 |
|
|
|
|
J1930
Lanreotide injection
|
⇄
|
15054-1090-04
Somatuline Depot
|
| 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 |
|
|
|
|
J1930
Lanreotide injection
|
⇄
|
15054-1120-04
Somatuline Depot
|
| 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 |
|
|
|
|