| Source HCPCS Code |
|
Target NDC Code |
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0560-01
INVEGA SUSTENNA 39 MG PREF SYR
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.25 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0561-01
INVEGA SUSTENNA 78 MG PREF SYR
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0562-01
INVEGA SUSTENNA 117 MG PREF SY
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.75 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0563-01
INVEGA SUSTENNA 156 MG PREF SY
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0564-01
INVEGA SUSTENNA 234 MG PREF SY
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0606-01
INVEGA TRINZA 273 MG/0.88
|
| Detail Information |
| Relationship Start Date |
03/06/2022 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
.88 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0607-01
INVEGA TRINZA 410 MG/1.32
|
| Detail Information |
| Relationship Start Date |
03/06/2022 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1.32 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0608-01
INVEGA TRINZA 546 MG/1.75 M
|
| Detail Information |
| Relationship Start Date |
06/15/2016 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1.75 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Injection, paliperidone palmitate extended release, 1 mg
|
⇄
|
50458-0609-01
INVEGA TRINZA 819 MG/2.63
|
| Detail Information |
| Relationship Start Date |
03/06/2022 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
2.63 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J2426
Inj, invega sustenna, 1 mg
|
⇄
|
50458-0560-01
INVEGA SUSTENNA
|
| 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 |
|
|
|
|
J2426
Inj, invega sustenna, 1 mg
|
⇄
|
50458-0561-01
INVEGA SUSTENNA
|
| 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 |
|
|
|
|
J2426
Inj, invega sustenna, 1 mg
|
⇄
|
50458-0562-01
INVEGA SUSTENNA
|
| 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 |
|
|
|
|
J2426
Inj, invega sustenna, 1 mg
|
⇄
|
50458-0563-01
INVEGA SUSTENNA
|
| 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 |
|
|
|
|
J2426
Inj, invega sustenna, 1 mg
|
⇄
|
50458-0564-01
INVEGA SUSTENNA
|
| 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 |
|
|
|
|