| Source HCPCS Code |
|
Target NDC Code |
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-2108-03
LUPRON DEPOT-PED (LYOPHILIZED) 7.5 MG
|
| Detail Information |
| Relationship Start Date |
08/03/2009 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-2282-03
LUPRON DEPOT-PED (LYOPHILIZED) 11.25 MG
|
| Detail Information |
| Relationship Start Date |
04/03/2009 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-2440-03
LUPRON DEPOT-PED (LYOPHILIZED) 15 MG
|
| Detail Information |
| Relationship Start Date |
04/17/2009 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-3575-01
LUPRON DEPOT-PED (PF,LATEX-FREE) 45 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-3641-03
LUPRON DEPOT 3.75 MG
|
| Detail Information |
| Relationship Start Date |
04/13/2009 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-3663-03
LUPRON DEPOT (DUAL-CHAMBER SYRINGE) 11.25 MG
|
| Detail Information |
| Relationship Start Date |
05/21/2009 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-3779-03
LUPRON DEPOT-PED (SINGLE DOSE) 11.25 MG
|
| Detail Information |
| Relationship Start Date |
08/15/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00074-9694-03
LUPRON DEPOT-PED (SINGLE DOSE) 30 MG
|
| Detail Information |
| Relationship Start Date |
08/15/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
|
⇄
|
00300-2282-01
|
| 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 |
|
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
00300-3641-01
LUPRON DEPOT (SRN,PREFIL DUAL CHAMBER) 3.75 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/27/2009 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
|
⇄
|
00300-3663-01
|
| 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 |
|
|
|
|
J1950
Injection, leuprolide acetate (for depot suspension), per 3.75 mg
|
⇄
|
16714-0572-01
LEUPROLIDE 2WK 14 MG/2.8 ML KT
|
| Detail Information |
| Relationship Start Date |
05/19/2009 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
J1950
|
⇄
|
54569-3444-00
|
| 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 |
|
|
|
|
J1950
|
⇄
|
54569-4526-00
|
| 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 |
|
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
54569-4547-00
LUPRON DEPOT (SRN, PREFILL DUAL CHAMB) 3.75 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
54868-2825-00
LUPRON DEPOT 3.75 MG
|
| Detail Information |
| Relationship Start Date |
3/10/2003 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
⇄
|
54868-3277-00
LUPRON DEPOT (S.D.V.) 3.75 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-2108-03
Lupron 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 |
|
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-2282-03
Lupron 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 |
|
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-2440-03
Lupron 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 |
|
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-3575-01
Lupron 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 |
|
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-3641-03
Lupron 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 |
|
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-3663-03
Lupron 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 |
|
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-3779-03
Lupron 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 |
|
|
|
|
J1950
Leuprolide acetate /3.75 mg
|
⇄
|
00074-9694-03
Lupron 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 |
|
|
|
|