| Source HCPCS Code |
|
Target NDC Code |
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
⇄
|
44087-6075-01
METRODIN 75 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
⇄
|
44087-6075-03
METRODIN 75 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
⇄
|
44087-6075-04
METRODIN 75 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
⇄
|
44087-6150-01
METRODIN 150 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
⇄
|
54569-2646-00
METRODIN 75 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
⇄
|
55566-8505-02
BRAVELLE (S.D.V. W/DILUENT) 75 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J3355
INJECTION, UROFOLLITROPIN, 75 IU
|
⇄
|
55566-8505-06
BRAVELLE (SDV W/Q-CAP) 75 IU
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
12/31/2017 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|