| Source HCPCS Code |
|
Target NDC Code |
S4993
Contraceptive pills for birth control
|
⇄
|
00023-5862-28
TAYTULLA 1 MG-20 MCG CAPSUL
|
| Detail Information |
| Relationship Start Date |
10/31/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00023-5862-30
TAYTULLA 1 MG-20 MCG CAPSUL
|
| Detail Information |
| Relationship Start Date |
10/31/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00023-6030-03
GENERESS FE CHEWABLE TABLET
|
| Detail Information |
| Relationship Start Date |
04/25/2011 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-2140-28
TRI-LO-SPRINTEC TABLET
|
| Detail Information |
| Relationship Start Date |
12/30/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-2140-62
TRI-LO-SPRINTEC TABLET
|
| Detail Information |
| Relationship Start Date |
12/30/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-3122-28
JINTELI 1 MG-5 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
02/17/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-3122-42
JINTELI 1 MG-5 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
02/17/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-3122-98
JINTELI 1 MG-5 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
02/17/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-3134-82
CAMRESE 0.15-0.03-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
07/10/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-3134-91
CAMRESE 0.15-0.03-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
07/10/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-3304-16
RECLIPSEN 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
04/06/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-3304-28
RECLIPSEN 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
04/06/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-4000-28
VESTURA 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/03/2012 |
| Relationship End Date |
11/06/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-4000-62
VESTURA 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/03/2012 |
| Relationship End Date |
11/06/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-5328-28
JUNEL FE 24 TABLET
|
| Detail Information |
| Relationship Start Date |
06/08/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-5328-62
JUNEL FE 24 TABLET
|
| Detail Information |
| Relationship Start Date |
06/08/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
00093-5455-28
MIMVEY 1-0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/02/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
00093-5455-42
MIMVEY 1-0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/02/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-6031-82
RIVELSA TABLET
|
| Detail Information |
| Relationship Start Date |
07/25/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-6031-91
RIVELSA TABLET
|
| Detail Information |
| Relationship Start Date |
07/25/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-6148-82
CAMRESE LO TABLET
|
| Detail Information |
| Relationship Start Date |
03/23/2009 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-6148-91
CAMRESE LO TABLET
|
| Detail Information |
| Relationship Start Date |
03/23/2009 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-8073-16
KELNOR 1-50 TABLET
|
| Detail Information |
| Relationship Start Date |
03/08/2018 |
| Relationship End Date |
03/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00093-8073-28
KELNOR 1-50 TABLET
|
| Detail Information |
| Relationship Start Date |
03/08/2018 |
| Relationship End Date |
03/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
00093-8210-28
FINZALA 1-0.02(24)-75 CHEW TAB
|
| Detail Information |
| Relationship Start Date |
08/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
00093-8210-62
FINZALA 1-0.02(24)-75 CHEW TAB
|
| Detail Information |
| Relationship Start Date |
08/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-6550-53
LEVONOR-ETH ESTRAD 0.15-0.03
|
| Detail Information |
| Relationship Start Date |
12/27/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-6550-85
LEVONOR-ETH ESTRAD 0.15-0.0
|
| Detail Information |
| Relationship Start Date |
12/27/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7272-53
NORETHINDRONE 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/24/2013 |
| Relationship End Date |
06/09/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7272-85
NORETHINDRONE 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
06/09/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7274-53
NORETHIN-EE 1.5-0.03 MG(21) TB
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7274-85
NORETHIN-EE 1.5-0.03 MG(21) TB
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7280-53
NORETHIND-ETH ESTRAD 1-0.02 MG
|
| Detail Information |
| Relationship Start Date |
07/11/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7280-85
NORETHIND-ETH ESTRAD 1-0.02
|
| Detail Information |
| Relationship Start Date |
07/11/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7281-53
LEVONOR-ETH ESTRAD 0.15-0.0
|
| Detail Information |
| Relationship Start Date |
04/27/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7283-53
NORETHIN-ESTRAD-FERR 1-0.02 MG
|
| Detail Information |
| Relationship Start Date |
07/16/2014 |
| Relationship End Date |
02/14/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7284-85
LEVONO-E ESTRAD 0.10-0.02-0
|
| Detail Information |
| Relationship Start Date |
11/07/2016 |
| Relationship End Date |
04/14/2026 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7284-90
LEVONO-E ESTRAD 0.10-0.02-0
|
| Detail Information |
| Relationship Start Date |
11/07/2016 |
| Relationship End Date |
04/14/2026 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7285-90
LEVONO-E ESTRAD 0.15-0.03-0
|
| Detail Information |
| Relationship Start Date |
05/28/2015 |
| Relationship End Date |
05/12/2026 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7287-53
LEVONOR-ETH ESTRAD 0.1-0.02 MG
|
| Detail Information |
| Relationship Start Date |
06/26/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7287-85
LEVONOR-ETH ESTRAD 0.1-0.02
|
| Detail Information |
| Relationship Start Date |
06/26/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7288-53
NORETH-EE-FE 1.5-0.03MG(21)
|
| Detail Information |
| Relationship Start Date |
12/16/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7288-85
NORETH-EE-FE 1.5-0.03MG(21)
|
| Detail Information |
| Relationship Start Date |
12/16/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7291-89
NORETHINDRONE 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7292-53
NORETHINDRONE 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/12/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7292-85
NORETHINDRONE 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7294-53
ESTRADIOL-NORETH 0.5-0.1 MG
|
| Detail Information |
| Relationship Start Date |
07/24/2018 |
| Relationship End Date |
06/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7294-85
ESTRADIOL-NORETH 0.5-0.1 MG
|
| Detail Information |
| Relationship Start Date |
07/24/2018 |
| Relationship End Date |
06/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7295-53
ESTRADIOL-NORETH 1-0.5 MG T
|
| Detail Information |
| Relationship Start Date |
07/24/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7295-85
ESTRADIOL-NORETH 1-0.5 MG T
|
| Detail Information |
| Relationship Start Date |
07/24/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7296-53
DESOGESTR-ETH ESTRAD ETH ESTRA
|
| Detail Information |
| Relationship Start Date |
07/16/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7297-53
NORET-ESTR-FE 0.4-0.035(21)
|
| Detail Information |
| Relationship Start Date |
10/28/2016 |
| Relationship End Date |
04/14/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7297-85
NORET-ESTR-FE 0.4-0.035(21)
|
| Detail Information |
| Relationship Start Date |
10/28/2016 |
| Relationship End Date |
04/14/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7299-53
DROSPIRENONE-EE 3-0.02 MG T
|
| Detail Information |
| Relationship Start Date |
04/23/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7299-85
DROSPIRENONE-EE 3-0.02 MG T
|
| Detail Information |
| Relationship Start Date |
04/23/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7300-53
DROSPIRENONE-ETH ESTRADIOL
|
| Detail Information |
| Relationship Start Date |
08/28/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
00378-7303-53
NORETH-EE-FE 1 MG/20-30-35 MCG
|
| Detail Information |
| Relationship Start Date |
07/27/2022 |
| Relationship End Date |
02/25/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
00378-7303-85
NORETH-EE-FE 1 MG/20-30-35 MCG
|
| Detail Information |
| Relationship Start Date |
07/27/2022 |
| Relationship End Date |
02/25/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7306-53
ETHYNODIOL-ETH ESTRA 1MG-50
|
| Detail Information |
| Relationship Start Date |
11/30/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7306-85
ETHYNODIOL-ETH ESTRA 1MG-50
|
| Detail Information |
| Relationship Start Date |
11/30/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7307-53
ETHYNODIOL-ETH ESTRA 1MG-35
|
| Detail Information |
| Relationship Start Date |
09/19/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7307-85
ETHYNODIOL-ETH ESTRA 1MG-35
|
| Detail Information |
| Relationship Start Date |
09/19/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7308-53
NORETHIN-ESTRA-FE 0.8-0.025
|
| Detail Information |
| Relationship Start Date |
04/01/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7308-85
NORETHIN-ESTRA-FE 0.8-0.025
|
| Detail Information |
| Relationship Start Date |
04/01/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00378-7316-85
LEVONORG 0.15MG-EE 20-25-30
|
| Detail Information |
| Relationship Start Date |
10/02/2017 |
| Relationship End Date |
06/02/2026 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00430-0420-14
LO LOESTRIN FE 1-10 TABLET
|
| Detail Information |
| Relationship Start Date |
12/29/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00430-0540-14
MINASTRIN 24 FE CHEWABLE TA
|
| Detail Information |
| Relationship Start Date |
03/27/2006 |
| Relationship End Date |
02/29/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00430-0540-50
MINASTRIN 24 FE CHEWABLE TA
|
| Detail Information |
| Relationship Start Date |
03/27/2006 |
| Relationship End Date |
02/29/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
00480-3472-24
AMETHYST 90-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00480-3475-16
NORA-BE TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00480-3475-19
NORA-BE TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00480-3493-16
CRYSELLE-28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00480-3493-24
CRYSELLE-28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00480-4000-28
VESTURA 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00480-4000-62
VESTURA 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-0211-10
NORETHINDRONE 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9008-67
NORTREL 0.5-35 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9008-79
NORTREL 0.5-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9009-42
NORTREL 1-35 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9009-80
NORTREL 1-35 21 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9010-58
NORTREL 1-35 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9010-79
NORTREL 1-35 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9012-58
NORTREL 7-7-7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9012-79
NORTREL 7-7-7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9014-67
LESSINA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9014-79
LESSINA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9016-58
SPRINTEC 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9018-58
TRI-SPRINTEC TABLET
|
| Detail Information |
| Relationship Start Date |
12/29/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9020-58
PORTIA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9020-79
PORTIA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9025-42
JUNEL 1 MG-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9026-58
JUNEL FE 1 MG-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9027-42
JUNEL 1.5 MG-30 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9028-58
JUNEL FE 1.5 MG-30 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9032-70
TRI-LEGEST FE-28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
10/26/2007 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9034-58
BALZIVA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9034-79
BALZIVA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9043-58
APRI 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9043-79
APRI 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9045-58
AVIANE-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9045-79
AVIANE-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9047-58
ENPRESSE-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9049-58
CRYSELLE-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/12/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9049-79
CRYSELLE-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/12/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9050-58
KARIVA 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9050-79
KARIVA 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9051-67
VELIVET 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2004 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9051-79
VELIVET 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2004 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
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|
⇄
|
00555-9064-58
KELNOR 1-35 28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/20/2005 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9064-79
KELNOR 1-35 28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/20/2005 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9066-67
ARANELLE 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/04/2004 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9066-79
ARANELLE 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/04/2004 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00555-9123-66
JOLESSA 0.15 MG-0.03 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9131-67
OCELLA 3 MG-0.03 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
06/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00555-9131-79
OCELLA 3 MG-0.03 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
06/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
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|
⇄
|
00642-7470-01
SLYND 4 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00642-7470-02
SLYND 4 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00642-7471-01
TYBLUME 0.1-0.02 MG CHEW TA
|
| Detail Information |
| Relationship Start Date |
06/16/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00781-4075-15
DROSP-EE-LEVOMEF 3-0.02-0.4
|
| Detail Information |
| Relationship Start Date |
10/12/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00781-4075-52
DROSP-EE-LEVOMEF 3-0.02-0.4
|
| Detail Information |
| Relationship Start Date |
10/12/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00781-4103-15
DROSP-EE-LEVOMEF 3-0.03-0.4
|
| Detail Information |
| Relationship Start Date |
01/10/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
00781-4103-52
DROSP-EE-LEVOMEF 3-0.03-0.4
|
| Detail Information |
| Relationship Start Date |
01/10/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0340-01
LEVONEST-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0340-04
LEVONEST-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0346-01
DASETTA 7/7/7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0346-04
DASETTA 7/7/7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0347-01
PHILITH 0.4-0.035 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0347-04
PHILITH 0.4-0.035 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0348-01
DASETTA 1-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0348-04
DASETTA 1-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0359-01
FALMINA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0359-03
FALMINA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0359-04
FALMINA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0360-01
MONO-LINYAH 28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0360-04
MONO-LINYAH 28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0363-01
TRI-LINYAH TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0363-04
TRI-LINYAH TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0365-01
ELINEST-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0365-04
ELINEST-28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0366-01
SETLAKIN 0.15 MG-0.03 MG TA
|
| Detail Information |
| Relationship Start Date |
09/17/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0366-03
SETLAKIN 0.15 MG-0.03 MG TA
|
| Detail Information |
| Relationship Start Date |
09/17/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0370-01
WERA 0.5/0.035 MG 28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0370-03
WERA 0.5/0.035 MG 28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0404-01
PIMTREA 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0404-04
PIMTREA 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0405-01
LARIN FE 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0405-04
LARIN FE 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0406-01
LARIN FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0406-04
LARIN FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0407-01
LARIN 1.5 MG-30 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0407-03
LARIN 1.5 MG-30 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0408-01
LARIN 21 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0408-03
LARIN 21 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0416-01
LARIN 24 FE 1 MG-20 MCG TAB
|
| Detail Information |
| Relationship Start Date |
06/12/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0416-03
LARIN 24 FE 1 MG-20 MCG TAB
|
| Detail Information |
| Relationship Start Date |
06/12/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0440-01
DEBLITANE 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0440-04
DEBLITANE 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0441-01
SHAROBEL 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0441-04
SHAROBEL 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0464-01
JULEBER 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
07/01/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
16714-0464-04
JULEBER 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
07/01/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
31722-0934-31
DROSPIRENONE-EE 3-0.02 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/12/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
31722-0934-32
DROSPIRENONE-EE 3-0.02 MG T
|
| Detail Information |
| Relationship Start Date |
08/12/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
31722-0944-32
LEVONOR-ETH ESTRAD 0.1-0.02 MG
|
| Detail Information |
| Relationship Start Date |
03/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
31722-0945-28
DROSPIRENONE-EE 3-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/15/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
31722-0945-31
DROSPIRENONE-EE 3-0.03 MG T
|
| Detail Information |
| Relationship Start Date |
12/15/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
31722-0945-32
DROSPIRENONE-EE 3-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/15/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
42192-0623-03
LEVONORGESTREL-ETH ESTRADIOL-FE BISGLYC 0.1-0.02-36.5 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/28/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
42192-0623-28
LEVONORGESTREL-ETH ESTRADIOL-FE BISGLYC 0.1-0.02-36.5 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/28/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
43386-0371-32
MERZEE 1 MG-20 MCG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/31/2022 |
| Relationship End Date |
05/22/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0220-21
AUBRA EQ-28 TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0220-23
AUBRA EQ-28 TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0224-21
TARINA 24 FE 1 MG-20 MCG TA
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0224-23
TARINA 24 FE 1 MG-20 MCG TA
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0228-21
TARINA FE 1-20 EQ TABLET
|
| Detail Information |
| Relationship Start Date |
11/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0228-23
TARINA FE 1-20 EQ TABLET
|
| Detail Information |
| Relationship Start Date |
11/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0230-21
CHATEAL EQ-28 TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0230-23
CHATEAL EQ-28 TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
50102-0231-01
TRI-VYLIBRA LO TABLET
|
| Detail Information |
| Relationship Start Date |
01/07/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0231-11
TRI-VYLIBRA LO TABLET
|
| Detail Information |
| Relationship Start Date |
01/07/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0231-13
TRI-VYLIBRA LO TABLET
|
| Detail Information |
| Relationship Start Date |
01/07/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0233-11
TRI-VYLIBRA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/16/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0233-13
TRI-VYLIBRA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/16/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0235-11
VYLIBRA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/10/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0235-13
VYLIBRA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/10/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0240-01
JASMIEL 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0240-21
JASMIEL 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0240-23
JASMIEL 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0254-21
CYRED EQ 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0254-23
CYRED EQ 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
50102-0300-01
LYLEQ 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/07/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0300-11
LYLEQ 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/07/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50102-0300-13
LYLEQ 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/07/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0402-01
YASMIN 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0402-03
YASMIN 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
50419-0403-01
SAFYRAL TABLET
|
| Detail Information |
| Relationship Start Date |
01/10/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0403-03
SAFYRAL TABLET
|
| Detail Information |
| Relationship Start Date |
01/10/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0405-01
YAZ 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/03/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0405-03
YAZ 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/03/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0407-01
BEYAZ 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/12/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0407-03
BEYAZ 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/12/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0409-01
NATAZIA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
07/06/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0409-03
NATAZIA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
07/06/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0482-01
ANGELIQ 0.25 MG-0.5 MG TABL
|
| Detail Information |
| Relationship Start Date |
09/05/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0482-03
ANGELIQ 0.25 MG-0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/05/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0483-01
ANGELIQ 0.5 MG-1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/05/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50419-0483-03
ANGELIQ 0.5 MG-1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/05/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50742-0267-50
NORETHINDRONE 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
50742-0657-28
ESTRADIOL-NORETH 1-0.5 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/20/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
50742-0657-84
ESTRADIOL-NORETH 1-0.5 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/20/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
50742-0658-28
ESTRADIOL-NORETH 0.5-0.1 MG TB
|
| Detail Information |
| Relationship Start Date |
09/20/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
50742-0658-84
ESTRADIOL-NORETH 0.5-0.1 MG TB
|
| Detail Information |
| Relationship Start Date |
09/20/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50742-0659-28
DOLISHALE 90-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
50742-0659-84
DOLISHALE 90-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0087-87
SEASONIQUE 0.15-0.03-0.01 TAB
|
| Detail Information |
| Relationship Start Date |
07/10/2006 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0092-87
LOSEASONIQUE TABLET
|
| Detail Information |
| Relationship Start Date |
03/23/2009 |
| Relationship End Date |
04/30/2024 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0120-58
MIRCETTE 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
09/15/2014 |
| Relationship End Date |
09/04/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0125-70
LOESTRIN FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
02/26/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0127-97
LOESTRIN 21 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
02/26/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0128-70
LOESTRIN FE 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
02/26/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0131-97
LOESTRIN 21 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
02/26/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0424-10
AYGESTIN 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
08/31/2024 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0431-65
QUARTETTE TABLET
|
| Detail Information |
| Relationship Start Date |
07/25/2013 |
| Relationship End Date |
09/04/2024 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51285-0431-87
QUARTETTE TABLET
|
| Detail Information |
| Relationship Start Date |
07/25/2013 |
| Relationship End Date |
09/04/2024 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0028-01
LUTERA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
04/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0028-06
LUTERA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
04/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0047-01
AMETHIA 0.15-0.03-0.01 MG T
|
| Detail Information |
| Relationship Start Date |
07/28/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0047-91
AMETHIA 0.15-0.03-0.01 MG T
|
| Detail Information |
| Relationship Start Date |
07/28/2011 |
| Relationship End Date |
05/31/2023 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0097-01
LEVORA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0097-06
LEVORA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0258-01
NEXTSTELLIS 3-14.2 MG TABLE
|
| Detail Information |
| Relationship Start Date |
06/18/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0471-01
LEENA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
11/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0471-06
LEENA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
11/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0510-01
TRIVORA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0510-06
TRIVORA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0545-01
SRONYX 0.10-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
01/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0545-06
SRONYX 0.10-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
01/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0564-01
LOW-OGESTREL-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
01/31/2027 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0564-06
LOW-OGESTREL-28 TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
01/31/2027 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0645-01
NYMYO 0.25-0.035 MG (28) TA
|
| Detail Information |
| Relationship Start Date |
02/12/2021 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0645-06
NYMYO 0.25-0.035 MG (28) TA
|
| Detail Information |
| Relationship Start Date |
02/12/2021 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0646-01
TRI-NYMYO 28 TABLET
|
| Detail Information |
| Relationship Start Date |
02/12/2021 |
| Relationship End Date |
01/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0646-06
TRI-NYMYO 28 TABLET
|
| Detail Information |
| Relationship Start Date |
02/12/2021 |
| Relationship End Date |
01/31/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0648-01
MICROGESTIN 24 FE 1 MG-20 MCG
|
| Detail Information |
| Relationship Start Date |
01/08/2021 |
| Relationship End Date |
07/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0648-03
MICROGESTIN 24 FE 1 MG-20 MCG
|
| Detail Information |
| Relationship Start Date |
01/08/2021 |
| Relationship End Date |
07/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0866-01
MICROGESTIN FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
07/19/2021 |
| Relationship End Date |
07/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0866-06
MICROGESTIN FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
07/19/2021 |
| Relationship End Date |
07/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0868-01
MICROGESTIN 21 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
05/07/2021 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0868-06
MICROGESTIN 21 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
05/07/2021 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0870-01
MICROGESTIN FE 1.5-30 TAB
|
| Detail Information |
| Relationship Start Date |
07/19/2021 |
| Relationship End Date |
07/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0870-06
MICROGESTIN FE 1.5-30 TAB
|
| Detail Information |
| Relationship Start Date |
07/19/2021 |
| Relationship End Date |
07/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0872-01
MICROGESTIN 21 1.5-30 TAB
|
| Detail Information |
| Relationship Start Date |
07/16/2021 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0872-06
MICROGESTIN 21 1.5-30 TAB
|
| Detail Information |
| Relationship Start Date |
07/16/2021 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0884-01
CAMILA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
08/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0884-03
CAMILA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
08/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0886-01
ERRIN 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
08/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0886-03
ERRIN 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
08/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0890-01
AZURETTE 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
06/02/2021 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0890-06
AZURETTE 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
06/02/2021 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0892-01
NECON 0.5-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/26/2021 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0892-03
NECON 0.5-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/26/2021 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0894-01
ZOVIA 1-35 TABLET
|
| Detail Information |
| Relationship Start Date |
06/01/2021 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
Contraceptive pills for birth control
|
⇄
|
51862-0894-06
ZOVIA 1-35 TABLET
|
| Detail Information |
| Relationship Start Date |
06/01/2021 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0896-01
TILIA FE 28 TABLET
|
| Detail Information |
| Relationship Start Date |
02/10/2021 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51862-0896-03
TILIA FE 28 TABLET
|
| Detail Information |
| Relationship Start Date |
02/10/2021 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51991-0474-28
ESTRADIOL-NORETH 1-0.5 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/17/2008 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
51991-0623-28
ESTRADIOL-NORETH 0.5-0.1 MG TB
|
| Detail Information |
| Relationship Start Date |
06/09/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
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|
|
S4993
Contraceptive pills for birth control
|
⇄
|
52544-0058-41
NORETH-ESTRAD-FE 1-0.02(24)
|
| Detail Information |
| Relationship Start Date |
03/27/2006 |
| Relationship End Date |
04/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
52544-0058-72
NORETH-ESTRAD-FE 1-0.02(24)
|
| Detail Information |
| Relationship Start Date |
03/27/2006 |
| Relationship End Date |
04/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
52544-0064-31
LAYOLIS FE CHEWABLE TABLET
|
| Detail Information |
| Relationship Start Date |
04/25/2011 |
| Relationship End Date |
03/31/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
52544-0295-28
AMETHYST 90-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
06/13/2011 |
| Relationship End Date |
07/31/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
52544-0629-28
NORA-BE TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2003 |
| Relationship End Date |
01/12/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
59651-0029-28
LO-ZUMANDIMINE 3 MG-0.02 MG TB
|
| Detail Information |
| Relationship Start Date |
03/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
59651-0029-88
LO-ZUMANDIMINE 3 MG-0.02 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
59651-0030-28
ZUMANDIMINE 3 MG-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
11/07/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
59651-0030-85
ZUMANDIMINE 3 MG-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
59651-0136-28
EMZAHH 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
59651-0136-88
EMZAHH 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
59762-1599-01
NORETH-ESTRAD-FE 1-0.02(24)
|
| Detail Information |
| Relationship Start Date |
10/31/2016 |
| Relationship End Date |
11/30/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
59762-1599-05
NORETH-ESTRAD-FE 1-0.02(24)
|
| Detail Information |
| Relationship Start Date |
10/31/2016 |
| Relationship End Date |
11/30/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
60846-0232-01
ACTIVELLA 1 MG-0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/03/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65162-0475-05
NORETHINDRONE 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/31/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65162-0475-09
NORETHINDRONE 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/31/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65162-0558-16
TAYSOFY 1 MG-20 MCG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/21/2021 |
| Relationship End Date |
02/02/2025 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65162-0558-58
TAYSOFY 1 MG-20 MCG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/21/2021 |
| Relationship End Date |
02/02/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0776-28
MILI 0.25-0.035 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/05/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0776-85
MILI 0.25-0.035 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/05/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0777-28
TRI-MILI 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/30/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0777-85
TRI-MILI 28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/30/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0778-28
TRI-LO-MILI TABLET
|
| Detail Information |
| Relationship Start Date |
06/11/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0778-85
TRI-LO-MILI TABLET
|
| Detail Information |
| Relationship Start Date |
06/11/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0848-28
AYUNA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0848-88
AYUNA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0864-94
SIMPESSE 0.15-0.03-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
06/25/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0864-95
SIMPESSE 0.15-0.03-0.01 MG
|
| Detail Information |
| Relationship Start Date |
06/25/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0865-94
ICLEVIA 0.15 MG-0.03 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/15/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0886-28
SIMLIYA 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
01/31/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0897-28
NYLIA 7-7-7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0897-88
NYLIA 7-7-7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0898-28
NYLIA 1-35 28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0898-88
NYLIA 1-35 28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0925-85
INCASSIA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/09/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0934-87
AUROVELA 24 FE 1 MG-20 MCG TAB
|
| Detail Information |
| Relationship Start Date |
04/05/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0934-88
AUROVELA 24 FE 1 MG-20 MCG
|
| Detail Information |
| Relationship Start Date |
04/05/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0935-21
AUROVELA 21 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0935-74
AUROVELA 21 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0939-21
AUROVELA 1 MG-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0939-88
AUROVELA 1 MG-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
65862-0940-87
AUROVELA FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
11/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0940-88
AUROVELA FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
11/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
65862-0941-88
AUROVELA FE 1.5 MG-30 MCG T
|
| Detail Information |
| Relationship Start Date |
06/11/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0739-71
ENSKYCE 28 TABLET
|
| Detail Information |
| Relationship Start Date |
07/01/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0739-73
ENSKYCE 28 TABLET
|
| Detail Information |
| Relationship Start Date |
07/01/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0827-09
FYAVOLV 0.5 MG-2.5 MCG TABL
|
| Detail Information |
| Relationship Start Date |
03/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0827-71
FYAVOLV 0.5 MG-2.5 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
03/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0827-73
FYAVOLV 0.5 MG-2.5 MCG TABL
|
| Detail Information |
| Relationship Start Date |
03/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0828-09
FYAVOLV 1 MG-5 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
03/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0828-71
FYAVOLV 1 MG-5 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
03/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0828-73
FYAVOLV 1 MG-5 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
03/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0829-71
AMABELZ 0.5 MG-0.1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/21/2016 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0829-73
AMABELZ 0.5 MG-0.1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/21/2016 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0830-71
AMABELZ 1 MG-0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/21/2016 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0830-73
AMABELZ 1 MG-0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/21/2016 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0837-71
TRI-LO-MARZIA TABLET
|
| Detail Information |
| Relationship Start Date |
01/19/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0837-73
TRI-LO-MARZIA TABLET
|
| Detail Information |
| Relationship Start Date |
01/19/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0838-71
NORG-EE 0.18-0.215-0.25/0.035
|
| Detail Information |
| Relationship Start Date |
07/18/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0838-73
NORG-EE 0.18-0.215-0.25/0.035
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0840-71
NORG-ETHIN ESTRA 0.25-0.035 MG
|
| Detail Information |
| Relationship Start Date |
01/23/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0840-73
NORG-ETHIN ESTRA 0.25-0.035
|
| Detail Information |
| Relationship Start Date |
01/23/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0843-11
LEVONOR-ETH ESTRAD 0.15-0.03
|
| Detail Information |
| Relationship Start Date |
10/26/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0843-13
LEVONOR-ETH ESTRAD 0.15-0.03
|
| Detail Information |
| Relationship Start Date |
10/26/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0844-71
KURVELO-28 TABLET
|
| Detail Information |
| Relationship Start Date |
10/29/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0844-73
KURVELO-28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0846-11
DAYSEE 0.15-0.03-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/12/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0846-13
DAYSEE 0.15-0.03-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/12/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0848-11
LEVONORG-ETH ESTRAD ETH ESTRAD
|
| Detail Information |
| Relationship Start Date |
12/09/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0848-13
LEVONORG-ETH ESTRAD ETH ESTRAD
|
| Detail Information |
| Relationship Start Date |
12/09/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0854-71
LEVONOR-ETH ESTRAD 0.1-0.02 MG
|
| Detail Information |
| Relationship Start Date |
03/14/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0854-73
LEVONOR-ETH ESTRAD 0.1-0.02
|
| Detail Information |
| Relationship Start Date |
03/14/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0857-71
LEVONOR-ETH ESTRAD TRIPHASIC
|
| Detail Information |
| Relationship Start Date |
03/29/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0857-73
LEVONOR-ETH ESTRAD TRIPHASI
|
| Detail Information |
| Relationship Start Date |
03/29/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0864-71
BLISOVI 24 FE TABLET
|
| Detail Information |
| Relationship Start Date |
01/14/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0864-73
BLISOVI 24 FE TABLET
|
| Detail Information |
| Relationship Start Date |
01/14/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0865-71
BLISOVI FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
04/07/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0865-73
BLISOVI FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
04/07/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0866-71
BLISOVI FE 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
04/07/2016 |
| Relationship End Date |
08/13/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0866-73
BLISOVI FE 1.5-30 TABLET
|
| Detail Information |
| Relationship Start Date |
04/07/2016 |
| Relationship End Date |
08/13/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0868-71
DROSPIRENONE-EE 3-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0868-73
DROSPIRENONE-EE 3-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0873-71
WYMZYA FE 0.4-0.035 MG CHEW TB
|
| Detail Information |
| Relationship Start Date |
12/01/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0873-73
WYMZYA FE 0.4-0.035 MG CHEW
|
| Detail Information |
| Relationship Start Date |
12/01/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0875-71
VYFEMLA 0.4 MG-0.035 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/05/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0875-73
VYFEMLA 0.4 MG-0.035 MG TAB
|
| Detail Information |
| Relationship Start Date |
02/05/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0876-71
NORETHINDRONE 0.35 MG TABLE
|
| Detail Information |
| Relationship Start Date |
11/16/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0876-73
NORETHINDRONE 0.35 MG TABLE
|
| Detail Information |
| Relationship Start Date |
11/16/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0877-71
JENCYCLA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/22/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0877-73
JENCYCLA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/22/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0886-71
NIKKI 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/23/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0886-73
NIKKI 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0892-73
PIRMELLA 7-7-7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
07/22/2013 |
| Relationship End Date |
12/01/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0894-71
DROSP-EE-LEVOMEF 3-0.02-0.451
|
| Detail Information |
| Relationship Start Date |
08/22/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0894-73
DROSP-EE-LEVOMEF 3-0.02-0.4
|
| Detail Information |
| Relationship Start Date |
08/22/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0895-11
TURQOZ-28 TABLET
|
| Detail Information |
| Relationship Start Date |
11/29/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0895-13
TURQOZ-28 TABLET
|
| Detail Information |
| Relationship Start Date |
11/29/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0902-71
DROSPIRENONE-EE 3-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
07/10/2013 |
| Relationship End Date |
09/06/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0902-73
DROSPIRENONE-EE 3-0.03 MG TAB
|
| Detail Information |
| Relationship Start Date |
07/10/2013 |
| Relationship End Date |
09/06/2023 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0903-71
KAITLIB FE 0.8-0.025 MG CHEW TB
|
| Detail Information |
| Relationship Start Date |
01/20/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0903-73
KAITLIB FE 0.8-0.025MG CHEW
|
| Detail Information |
| Relationship Start Date |
01/20/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0904-71
TYDEMY 3-0.03-0.451 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/15/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68180-0904-73
TYDEMY 3-0.03-0.451 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/15/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0911-71
MIBELAS 24 FE CHEWABLE TABLET
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68180-0911-73
MIBELAS 24 FE CHEWABLE TABLET
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0132-79
NORETHIND-ETH ESTRAD 1-0.02
|
| Detail Information |
| Relationship Start Date |
05/17/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0132-81
NORETHIND-ETH ESTRAD 1-0.02
|
| Detail Information |
| Relationship Start Date |
05/17/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0303-29
HEATHER TABLET
|
| Detail Information |
| Relationship Start Date |
08/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0303-84
HEATHER 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0304-50
NORETHINDRONE 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0305-29
NORETHINDRONE 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0305-84
NORETHINDRONE 0.35 MG TABLE
|
| Detail Information |
| Relationship Start Date |
11/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0309-29
NORG-ETHIN ESTRA 0.25-0.035 MG
|
| Detail Information |
| Relationship Start Date |
04/17/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0309-84
NORG-ETHIN ESTRA 0.25-0.035 MG
|
| Detail Information |
| Relationship Start Date |
04/17/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0316-29
BRIELLYN TABLET
|
| Detail Information |
| Relationship Start Date |
06/02/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0318-29
VIORELE 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0318-84
VIORELE 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0388-29
MARLISSA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0388-84
MARLISSA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0394-29
ALYACEN 1-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0394-84
ALYACEN 1/35
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0419-29
HAILEY FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0419-84
HAILEY FE 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0504-79
HAILEY 21 1.5 MG-30 MCG TAB
|
| Detail Information |
| Relationship Start Date |
08/28/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0504-81
HAILEY 21 1.5 MG-30 MCG TAB
|
| Detail Information |
| Relationship Start Date |
08/28/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0556-29
ALYACEN 7-7-7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0556-84
ALYACEN 7-7-7-28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0565-29
NORGESTIMATE-ETH ESTRADIOL TAB
|
| Detail Information |
| Relationship Start Date |
09/19/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0565-84
NORG-EE 0.18-0.215-0.25/0.0
|
| Detail Information |
| Relationship Start Date |
09/19/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0637-29
LEVONOR-ETH ESTRA 0.09-0.02
|
| Detail Information |
| Relationship Start Date |
04/22/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0637-84
LEVONOR-ETH ESTRA 0.09-0.02
|
| Detail Information |
| Relationship Start Date |
04/22/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0646-91
ASHLYNA 0.15-0.03-0.01 MG T
|
| Detail Information |
| Relationship Start Date |
03/16/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0646-93
ASHLYNA 0.15-0.03-0.01 MG T
|
| Detail Information |
| Relationship Start Date |
03/16/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0656-29
NORETHIND-ETH ESTRAD 0.5-2.
|
| Detail Information |
| Relationship Start Date |
05/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0656-84
NORETHIND-ETH ESTRAD 0.5-2.
|
| Detail Information |
| Relationship Start Date |
05/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0657-29
NORETHIN-ETH ESTRAD 1 MG-5
|
| Detail Information |
| Relationship Start Date |
06/03/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0657-84
NORETHIN-ETH ESTRAD 1 MG-5
|
| Detail Information |
| Relationship Start Date |
06/03/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0657-90
NORETHIN-ETH ESTRAD 1 MG-5
|
| Detail Information |
| Relationship Start Date |
06/03/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0672-91
LEVONOR-ETH ESTRAD 0.15-0.0
|
| Detail Information |
| Relationship Start Date |
07/06/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0672-95
LEVONOR-ETH ESTRAD 0.15-0.0
|
| Detail Information |
| Relationship Start Date |
07/06/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0719-29
NORG-EE 0.18-0.215-0.25/0.0
|
| Detail Information |
| Relationship Start Date |
03/14/2016 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0719-84
NORG-EE 0.18-0.215-0.25/0.0
|
| Detail Information |
| Relationship Start Date |
03/14/2016 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0720-29
DROSPIRENONE-EE 3-0.02 MG T
|
| Detail Information |
| Relationship Start Date |
09/18/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0720-84
DROSPIRENONE-EE 3-0.02 MG T
|
| Detail Information |
| Relationship Start Date |
09/18/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0731-29
HAILEY 24 FE 1 MG-20 MCG TA
|
| Detail Information |
| Relationship Start Date |
12/11/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0731-84
HAILEY 24 FE 1 MG-20 MCG TA
|
| Detail Information |
| Relationship Start Date |
12/11/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0733-29
DROSPIRENONE-EE 3-0.03 MG T
|
| Detail Information |
| Relationship Start Date |
05/17/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0733-84
DROSPIRENONE-EE 3-0.03 MG T
|
| Detail Information |
| Relationship Start Date |
05/17/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68462-0849-29
NORETH-EE-FE 1-0.02(24)-75 CAP
|
| Detail Information |
| Relationship Start Date |
09/19/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
68462-0849-84
NORETH-EE-FE 1-0.02(24)-75 CAP
|
| Detail Information |
| Relationship Start Date |
09/19/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0852-29
CHARLOTTE 24 FE CHEWABLE TA
|
| Detail Information |
| Relationship Start Date |
07/10/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
68462-0852-84
CHARLOTTE 24 FE CHEWABLE TA
|
| Detail Information |
| Relationship Start Date |
07/10/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
69238-1531-06
LARISSIA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
08/09/2016 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
69238-1551-06
FEMYNOR 28 TABLET
|
| Detail Information |
| Relationship Start Date |
01/09/2017 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
69238-1554-06
LILLOW-28 TABLET
|
| Detail Information |
| Relationship Start Date |
08/10/2017 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
69238-1583-06
NORLYDA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/25/2017 |
| Relationship End Date |
07/11/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
69238-1607-06
TRI FEMYNOR 28 TABLET
|
| Detail Information |
| Relationship Start Date |
05/08/2017 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0101-85
NORETH-ESTRAD-FE 1-0.02(24)
|
| Detail Information |
| Relationship Start Date |
04/02/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0113-84
ISIBLOOM 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
07/11/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0113-85
ISIBLOOM 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
07/11/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0114-84
LORYNA 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0114-85
LORYNA 3 MG-0.02 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0115-84
SYEDA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0115-85
SYEDA 28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0116-84
ALTAVERA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0116-85
ALTAVERA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0118-84
VIENVA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0118-85
VIENVA-28 TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0119-84
ESTARYLLA 0.25-0.035 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0119-85
ESTARYLLA 0.25-0.035 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0120-84
TRI-LO-ESTARYLLA TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0120-85
TRI-LO-ESTARYLLA TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0121-84
TRI-ESTARYLLA TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0121-85
TRI-ESTARYLLA TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
70700-0122-84
VOLNEA 0.15-0.02-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
02/05/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0122-85
VOLNEA 0.15-0.02-0.01 MG TA
|
| Detail Information |
| Relationship Start Date |
02/05/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0123-87
JAIMIESS 0.15-0.03-0.01 MG
|
| Detail Information |
| Relationship Start Date |
01/02/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0124-87
LOJAIMIESS 0.1-0.02-0.01 TA
|
| Detail Information |
| Relationship Start Date |
01/10/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
70700-0152-84
GEMMILY 1 MG-20 MCG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/09/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0152-85
GEMMILY 1 MG-20 MCG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/09/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
70700-0177-85
JOYEAUX-28 TABLET
|
| Detail Information |
| Relationship Start Date |
08/17/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0206-87
JAIMIESS 0.15-0.03-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0206-93
JAIMIESS 0.15-0.03-0.01 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
182 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0305-84
VALTYA 1 MG-50 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0305-85
VALTYA 1 MG-50 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0308-84
XELRIA FE 0.4-0.035 MG CHEW TB
|
| Detail Information |
| Relationship Start Date |
04/09/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0308-85
XELRIA FE 0.4-0.035 MG CHEW TB
|
| Detail Information |
| Relationship Start Date |
04/09/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0313-79
LUIZZA 1 MG-20 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
09/15/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
63 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0314-79
LUIZZA 1.5 MG-30 MCG TABLET
|
| Detail Information |
| Relationship Start Date |
09/30/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
63 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0316-84
ORQUIDEA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0316-85
ORQUIDEA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0317-84
MELEYA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0317-85
MELEYA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
70700-0326-50
GALLIFREY 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/17/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
72495-0601-84
FEMLYV 1 MG-0.02 MG ODT
|
| Detail Information |
| Relationship Start Date |
04/16/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
72603-0875-01
DROSPIRENONE-EE 3-0.02 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/11/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
72603-0875-03
DROSPIRENONE-EE 3-0.02 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/11/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
|
⇄
|
73302-0456-01
ELLA 30 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/20/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75834-0115-84
DROSPIRENONE-EE 3-0.03 MG T
|
| Detail Information |
| Relationship Start Date |
11/01/2017 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75834-0129-29
NORETHIND-ETH ESTRAD 0.5-2.
|
| Detail Information |
| Relationship Start Date |
02/14/2017 |
| Relationship End Date |
07/31/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75834-0130-29
NORETHIN-ETH ESTRAD 1 MG-5
|
| Detail Information |
| Relationship Start Date |
02/14/2017 |
| Relationship End Date |
07/31/2023 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75854-0602-03
BALCOLTRA TABLET
|
| Detail Information |
| Relationship Start Date |
04/30/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75854-0602-28
BALCOLTRA TABLET
|
| Detail Information |
| Relationship Start Date |
04/30/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0074-28
CAMILA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0074-32
CAMILA 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0075-28
ERRIN 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0075-32
ERRIN 0.35 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0083-21
MICROGESTIN 21 1.5-30 TAB
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0083-63
MICROGESTIN 21 1.5-30 TAB
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0084-21
MICROGESTIN 21 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0084-63
MICROGESTIN 21 1-20 TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0085-28
NECON 0.5-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0085-32
NECON 0.5-35-28 TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0087-28
ZOVIA 1-35 TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0087-62
ZOVIA 1-35 TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0091-28
AZURETTE 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
S4993
Contraceptive pills for birth control
|
⇄
|
75907-0091-62
AZURETTE 28 DAY TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|