| Source HCPCS Code |
|
Target NDC Code |
J1944
Inj, aristada, 1 mg
|
⇄
|
65757-0401-01
ARISTADA ER 441 MG/1.6 ML S
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
05/31/2021 |
| Number Of Items In Ndc Package |
1.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
INJECTION, ARIPIPRAZOLE LAUROXIL, (ARISTADA), 1 MG
|
⇄
|
65757-0401-03
ARISTADA 441 MG/1.6 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
Inj, aristada, 1 mg
|
⇄
|
65757-0402-01
ARISTADA ER 662 MG/2.4 ML S
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
07/31/2021 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
INJECTION, ARIPIPRAZOLE LAUROXIL, (ARISTADA), 1 MG
|
⇄
|
65757-0402-03
ARISTADA 662 MG/2.4 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
Inj, aristada, 1 mg
|
⇄
|
65757-0403-01
ARISTADA ER 882 MG/3.2 ML S
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
07/31/2021 |
| Number Of Items In Ndc Package |
3.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
INJECTION, ARIPIPRAZOLE LAUROXIL, (ARISTADA), 1 MG
|
⇄
|
65757-0403-03
ARISTADA 882 MG/3.2 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
Inj, aristada, 1 mg
|
⇄
|
65757-0404-01
ARISTADA ER 1064 MG/3.9 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
06/30/2021 |
| Number Of Items In Ndc Package |
3.9 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
INJECTION, ARIPIPRAZOLE LAUROXIL, (ARISTADA), 1 MG
|
⇄
|
65757-0404-03
ARISTADA 1064 MG/3.9 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3.9 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1944
Aripiprazole lauroxil 1 mg
|
⇄
|
65757-0401-03
Aristada
|
| 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 |
|
|
|
|
J1944
Aripiprazole lauroxil 1 mg
|
⇄
|
65757-0402-03
Aristada
|
| 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 |
|
|
|
|
J1944
Aripiprazole lauroxil 1 mg
|
⇄
|
65757-0403-03
Aristada
|
| 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 |
|
|
|
|
J1944
Aripiprazole lauroxil 1 mg
|
⇄
|
65757-0404-03
Aristada
|
| 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 |
|
|
|
|