| Source HCPCS Code |
|
Target NDC Code |
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
00052-0697-02
DECA-DURABOLIN (VIAL) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/21/2002 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
00314-3520-02
HYBOLIN DECANOATE (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2006 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
00314-3525-02
HYBOLIN DECANOATE (VIAL) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2006 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
00364-6717-47
NANDROLONE DECANOATE (M.D.V.) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/28/2003 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
00402-0432-02
NANDROLONE DECANOATE (M.D.V.) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/1/2002 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
00591-6717-02
NANDROLONE DECANOATE (M.D.V.) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/29/2003 |
| Relationship End Date |
3/20/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
00591-6717-47
NANDROLONE DECANOATE (M.D.V.) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/29/2003 |
| Relationship End Date |
1/5/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
49452-4838-03
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
49452-4838-04
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
49452-4838-05
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
51552-1043-02
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
9/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
51927-3514-00
NANDROLONE DECANOATE (U.S.P.; CIII)
|
| Detail Information |
| Relationship Start Date |
9/8/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
54569-1906-01
DECA-DURABOLIN (M.D.V.) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
54868-5555-00
NANDROLONE DEC 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/11/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
62991-2186-02
NANDROLONE DECANOATE (USP, 1X1000GM)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
62991-2186-03
NANDROLONE DECANOATE (USP)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
62991-2186-04
NANDROLONE DECANOATE (USP)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
62991-2186-05
NANDROLONE DECANOATE (USP)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
63370-0955-10
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
63370-0955-15
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
63370-0955-25
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
63370-0955-35
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2321
INJECTION, NANDROLONE DECANOATE, UP TO 100 MG
|
⇄
|
63370-0955-45
NANDROLONE DECANOATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|