| Source NDC Code |
|
Target HCPCS Code |
00074-3346-03
LUPRON DEPOT 22.5 MG 3MO KIT
|
⇄
|
J1950
Injection, leuprolide acetate (for depot suspension), per 3.75 mg
|
| Detail Information |
| Relationship Start Date |
09/30/1998 |
| 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 |
|
|
|
00074-3346-03
LUPRON DEPOT (STERILE,1X22.5MG) 22.5 MG
|
⇄
|
J9217
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
|
| Detail Information |
| Relationship Start Date |
04/02/2009 |
| 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 |
|
|
|
00074-3346-03
Lupron Depot-3 month 22.5mg kit
|
⇄
|
J9217
Leuprolide acetate suspnsion
|
| 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 |
|
|
|
|