| Source NDC Code |
|
Target HCPCS Code |
00574-0872-05
|
⇄
|
J0970
|
| 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 |
|
|
|
|
00574-0872-05
ESTRADIOL VALERATE 40 MG/ML VL
|
⇄
|
J1380
Injection, estradiol valerate, up to 10 mg
|
| Detail Information |
| Relationship Start Date |
07/15/2017 |
| Relationship End Date |
01/31/2022 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
00574-0872-05
|
⇄
|
J1390
|
| 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 |
|
|
|
|
00574-0872-05
Estradiol Valerate
|
⇄
|
J1380
Estradiol valerate 10 mg inj
|
| 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 |
|
|
|
|