| Source HCPCS Code |
|
Target NDC Code |
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00703-0666-01
TREPROSTINIL (M.D.V.,LATEX-FREE) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/30/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00703-0676-01
TREPROSTINIL (M.D.V.,LATEX-FREE) 2.5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/30/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00703-0686-01
TREPROSTINIL (M.D.V.,LATEX-FREE) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/30/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00703-0696-01
TREPROSTINIL (M.D.V.,LATEX-FREE) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/30/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00781-3420-80
TREPROSTINIL (M.D.V.) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/27/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00781-3425-80
TREPROSTINIL (M.D.V.) 2.5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/27/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00781-3427-80
TREPROSTINIL (M.D.V.) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/27/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
00781-3430-80
TREPROSTINIL (M.D.V.) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/27/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
42023-0206-01
TREPROSTINIL (M.D.V.) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/25/2019 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
42023-0207-01
TREPROSTINIL (M.D.V.) 2.5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/25/2019 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
42023-0208-01
TREPROSTINIL (M.D.V.) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/25/2019 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
42023-0209-01
TREPROSTINIL (M.D.V.) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/25/2019 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
43598-0646-11
TREPROSTINIL (1X20ML,MDV) 2.5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
43598-0647-11
TREPROSTINIL (1X20ML,MDV) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
43598-0648-11
TREPROSTINIL (1X20ML,MDV) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
43598-0649-11
TREPROSTINIL (1X20ML,MDV) 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0101-01
REMODULIN (M.D.V.) 1 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0102-01
REMODULIN (M.D.V.) 2.5 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0105-01
REMODULIN (M.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0110-01
REMODULIN (M.D.V.) 10 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
Injection, treprostinil, 1 mg
|
⇄
|
66302-0114-01
REMODULIN 8 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/23/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3285
|
⇄
|
66303-0105-01
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
43598-0646-11
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
43598-0647-11
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
43598-0648-11
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
43598-0649-11
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
42023-0206-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
42023-0207-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
42023-0208-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
42023-0209-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00781-3420-80
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00781-3425-80
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00781-3427-80
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00781-3430-80
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00703-0666-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00703-0676-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00703-0686-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
00703-0696-01
Treprostinil Injection
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
66302-0101-01
Remodulin
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
66302-0102-01
Remodulin
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
66302-0105-01
Remodulin
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
66302-0110-01
Remodulin
|
| 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 |
|
|
|
|
J3285
Treprostinil injection
|
⇄
|
66302-0114-01
Remodulin
|
| 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 |
|
|
|
|