| Source NDC Code |
|
Target HCPCS Code |
12496-0100-01
SUBLOCADE 100 MG/0.5 ML
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| Relationship End Date |
06/30/2018 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
12496-0100-01
SUBLOCADE 100 MG/0.5 ML
|
⇄
|
Q9991
INJECTION, BUPRENORPHINE EXTENDED-RELEASE (SUBLOCADE), LESS THAN OR EQUAL TO 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
12496-0100-01
SUBLOCADE
|
⇄
|
Q9991
Buprenorph xr 100 mg or less
|
| 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 |
|
|
|
|