| Source NDC Code |
|
Target HCPCS Code |
00074-2108-03
LUPRON DEPOT-PED (LYOPHILIZED) 7.5 MG
|
⇄
|
J1950
INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG
|
| Detail Information |
| Relationship Start Date |
08/03/2009 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
00074-2108-03
LUPRON DEPOT-PED 7.5 MG KIT
|
⇄
|
J9217
Leuprolide acetate (for depot suspension), 7.5 mg
|
| Detail Information |
| Relationship Start Date |
08/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
00074-2108-03
Lupron Depot-Ped 7.5mg
|
⇄
|
J1950
Leuprolide acetate /3.75 mg
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|