| Source HCPCS Code |
|
Target NDC Code |
J9225
HISTRELIN IMPLANT, 50 MG
|
⇄
|
55592-0500-01
VANTAS 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2006 |
| Relationship End Date |
7/25/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9225
HISTRELIN IMPLANT, 50 MG
|
⇄
|
67979-0002-01
SUPPRELIN LA 50 MG
|
| Detail Information |
| Relationship Start Date |
6/18/2007 |
| Relationship End Date |
12/31/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9225
HISTRELIN IMPLANT, 50 MG
|
⇄
|
67979-0500-01
VANTAS 50 MG
|
| Detail Information |
| Relationship Start Date |
7/25/2007 |
| Relationship End Date |
12/31/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|