| Source HCPCS Code |
|
Target NDC Code |
J9218
|
⇄
|
00074-3612-30
|
| 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 |
|
|
|
|
J9218
|
⇄
|
00074-3612-34
|
| 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 |
|
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
00121-1053-55
LEUPROLIDE 2WK 14 MG/2.8 ML VL
|
| Detail Information |
| Relationship Start Date |
03/12/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
00121-2106-02
LEUPROLIDE 2WK 14 MG/2.8 ML KT
|
| Detail Information |
| Relationship Start Date |
03/12/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00182-3154-99
LEUPROLIDE ACETATE (2 WEEK ADMINISTRATION) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/25/2002 |
| Relationship End Date |
4/26/2006 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00185-7400-14
LEUPROLIDE ACETATE (M.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/3/2003 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00185-7400-85
LEUPROLIDE ACETATE (2 WEEK ADMINISTRATION) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/17/2012 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00300-3612-24
LUPRON (2 WEEK ADMINISTRATION) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/13/2009 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00300-3612-28
LUPRON (2 WEEK ADMINISTRATION) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/24/2009 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00406-8050-03
LEUPROLIDE ACETATE
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00703-4014-18
LEUPROLIDE ACETATE (2 WEEK ADMINISTRATION) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/31/2011 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
00703-4014-19
LEUPROLIDE ACETATE (M.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9218
|
⇄
|
00703-4024-19
|
| 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 |
|
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
00781-4003-32
LEUPROLIDE 2WK 1 MG/0.2 ML KIT
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
16714-0572-01
LEUPROLIDE 2WK 14 MG/2.8 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
J9218
|
⇄
|
41616-0936-40
|
| 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 |
|
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
47335-0936-40
LEUPROLIDE ACETATE (MDV) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
03/02/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
49884-0368-26
LEUPROLIDE ACETATE (14-DAY ADMINISTRATION) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/27/2006 |
| Relationship End Date |
1/22/2009 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
|
⇄
|
49884-0368-45
|
| 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 |
|
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
54569-4982-00
LUPRON (2 WEEK ADMINISTRATION) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
55150-0338-01
LEUPROLIDE 2WK 14 MG/2.8 ML VL
|
| Detail Information |
| Relationship Start Date |
06/29/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
55150-0478-01
LEUPROLIDE 2WK 14 MG/2.8 ML
|
| Detail Information |
| Relationship Start Date |
06/29/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
LEUPROLIDE ACETATE, PER 1 MG
|
⇄
|
64523-0100-01
OAKLIDE 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2003 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
NA |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
70121-1695-02
LEUPROLIDE 2WK 14 MG/2.8 ML VL
|
| Detail Information |
| Relationship Start Date |
04/05/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
70121-2537-06
LEUPROLIDE 2WK 14 MG/2.8 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
71288-0565-03
LEUPROLIDE 2WK 14 MG/2.8 ML VL
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
71288-0569-90
LEUPROLIDE 2WK 14 MG/2.8 ML KT
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
72603-0201-01
LEUPROLIDE 2WK 14 MG/2.8 ML VL
|
| Detail Information |
| Relationship Start Date |
12/01/2021 |
| Relationship End Date |
12/31/2026 |
| Number Of Items In Ndc Package |
2.8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
72603-0344-01
LEUPROLIDE 2WK 14 MG/2.8 ML KT
|
| Detail Information |
| Relationship Start Date |
12/01/2021 |
| Relationship End Date |
04/30/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
72664-0611-28
LEUPROLIDE 2WK 14 MG/2.8 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2021 |
| Relationship End Date |
01/31/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
83634-0452-03
LEUPROLIDE 2WK 14 MG/2.8 ML VL
|
| Detail Information |
| Relationship Start Date |
06/06/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
J9218
Leuprolide acetate, per 1 mg
|
⇄
|
83634-0454-61
LEUPROLIDE 2WK 14 MG/2.8 ML KT
|
| Detail Information |
| Relationship Start Date |
06/06/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|