| Source HCPCS Code |
|
Target NDC Code |
J7304
Contraceptive supply, hormone containing patch, each
|
⇄
|
00378-3340-16
XULANE PATCH
|
| Detail Information |
| Relationship Start Date |
04/16/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
TD |
| Billing Units |
TDP |
|
|
|
J7304
Contraceptive supply, hormone containing patch, each
|
⇄
|
00378-3340-53
XULANE PATCH
|
| Detail Information |
| Relationship Start Date |
04/16/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
TD |
| Billing Units |
TDP |
|
|
|
J7304
Contraceptive supply, hormone containing patch, each
|
⇄
|
65162-0358-01
ZAFEMY 150-35 MCG/DAY PATCH
|
| Detail Information |
| Relationship Start Date |
04/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
TD |
| Billing Units |
TDP |
|
|
|
J7304
Contraceptive supply, hormone containing patch, each
|
⇄
|
65162-0358-03
ZAFEMY 150-35 MCG/DAY PATCH
|
| Detail Information |
| Relationship Start Date |
02/26/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
TD |
| Billing Units |
TDP |
|
|
|