| Source HCPCS Code |
|
Target NDC Code |
J3304
Injection, triamcinolone acetonide, preservative-free ER, microsphere formulation, 1 MG
|
⇄
|
65250-0001-01
ZILRETTA 32 MG VIAL
|
| Detail Information |
| Relationship Start Date |
12/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IU |
| Billing Units |
EA |
|
|
|
J3304
INJECTION, TRIAMCINOLONE ACETONIDE, PRESERVATIVE-FREE, EXTENDED-RELEASE, MICROSPHERE FORMULATION, 1 MG
|
⇄
|
65250-0003-01
ZILRETTA (W/DILUENT) 32 MG
|
| Detail Information |
| Relationship Start Date |
10/10/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J3304
Inj, triamcinolone acetonide, PF, ER, 1 mg
|
⇄
|
70801-0001-01
ZILRETTA 32 MG VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
08/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IU |
| Billing Units |
EA |
|
|
|
J3304
INJECTION, TRIAMCINOLONE ACETONIDE, PRESERVATIVE-FREE, EXTENDED-RELEASE, MICROSPHERE FORMULATION, 1 MG
|
⇄
|
70801-0003-01
ZILRETTA (W/DILUENT) 32 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
03/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J3304
Inj triamcinolone ace xr 1mg
|
⇄
|
65250-0003-01
Zilretta
|
| 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 |
|
|
|
|