| Source HCPCS Code |
|
Target NDC Code |
J3121
Injection, testosterone enanthate, 1mg
|
⇄
|
00143-9750-01
TESTOSTERON ENAN 1,000 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
00574-0821-05
TESTOSTERONE ENANTHATE (USP,MULTIPLE DOSE) 200 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
00591-3221-26
TESTOSTERONE ENANTHATE 200 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
38779-0855-03
TESTOSTERONE ENANTHATE
|
| Detail Information |
| Relationship Start Date |
1/1/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
38779-0855-04
TESTOSTERONE ENANTHATE
|
| Detail Information |
| Relationship Start Date |
01/01/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
54868-5016-00
DELATESTRYL 200 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE, 1 MG
|
⇄
|
62991-2700-01
TESTOSTERONE ENANTHATE (USP, 1X1000GM)
|
| Detail Information |
| Relationship Start Date |
10/17/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
63370-0983-15
TESTOSTERONE ENANTHATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
63370-0983-25
TESTOSTERONE ENANTHATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
63370-0983-35
TESTOSTERONE ENANTHATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
⇄
|
63370-0983-50
TESTOSTERONE ENANTHATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J3121
|
⇄
|
67979-0501-40
|
| 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 |
|
|
|
|
J3121
Inj testostero enanthate 1mg
|
⇄
|
00143-9750-01
Testosterone Enanthate
|
| 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 |
|
|
|
|