| Source HCPCS Code |
|
Target NDC Code |
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
00093-7679-01
ETONOGESTREL-EE VAGINAL RIN
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
07/14/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
00093-7679-02
ETONOGESTREL-EE VAGINAL RIN
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
07/14/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours;monthly vaginal ring, each
|
⇄
|
16714-0029-01
ETONOGESTREL-EE VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
10/03/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours;monthly vaginal ring, each
|
⇄
|
16714-0029-03
ETONOGESTREL-EE VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
10/03/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
51862-0148-01
HALOETTE VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
01/19/2023 |
| Relationship End Date |
11/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
51862-0148-03
HALOETTE VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
01/19/2023 |
| Relationship End Date |
11/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
65162-0469-32
ELURYNG VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
12/12/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
65162-0469-35
ELURYNG VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
66993-0605-36
ETONOGESTREL-EE VAGINAL RIN
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
66993-0605-81
ETONOGESTREL-EE VAGINAL RIN
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours;monthly vaginal ring, each
|
⇄
|
70700-0156-11
ENILLORING VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
10/03/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours;monthly vaginal ring, each
|
⇄
|
70700-0156-91
ENILLORING VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
10/03/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours;monthly vaginal ring, each
|
⇄
|
75907-0088-11
HALOETTE VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
02/28/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours;monthly vaginal ring, each
|
⇄
|
75907-0088-13
HALOETTE VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
02/28/2026 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
78206-0146-01
NUVARING VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
07/28/2027 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|
J7295
Eth estr and eton monthly .015mg/.12mg
|
⇄
|
78206-0146-03
NUVARING VAGINAL RING
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
07/28/2027 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
VG |
| Billing Units |
EA |
|
|
|