| Source HCPCS Code |
|
Target NDC Code |
J7503
TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG
|
⇄
|
68992-3010-01
ENVARSUS XR 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7503
TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG
|
⇄
|
68992-3010-03
ENVARSUS XR 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7503
TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG
|
⇄
|
68992-3040-01
ENVARSUS XR 4 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7503
TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG
|
⇄
|
68992-3040-03
ENVARSUS XR 4 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7503
TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG
|
⇄
|
68992-3075-01
ENVARSUS XR 0.75 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7503
TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG
|
⇄
|
68992-3075-03
ENVARSUS XR 0.75 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7503
Tacrol envarsus ex rel oral
|
⇄
|
68992-3010-01
Envarsus XR
|
| 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 |
|
|
|
|
J7503
Tacrol envarsus ex rel oral
|
⇄
|
68992-3010-03
Envarsus XR
|
| 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 |
|
|
|
|
J7503
Tacrol envarsus ex rel oral
|
⇄
|
68992-3040-01
Envarsus XR
|
| 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 |
|
|
|
|
J7503
Tacrol envarsus ex rel oral
|
⇄
|
68992-3040-03
Envarsus XR
|
| 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 |
|
|
|
|
J7503
Tacrol envarsus ex rel oral
|
⇄
|
68992-3075-01
Envarsus XR
|
| 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 |
|
|
|
|
J7503
Tacrol envarsus ex rel oral
|
⇄
|
68992-3075-03
Envarsus XR
|
| 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 |
|
|
|
|