| Source NDC Code |
|
Target HCPCS Code |
16714-0644-10
DOXYCYCLINE SDV,LYOPHILIZED 100 MG
|
⇄
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
16714-0644-10
DOXYCYCLINE (SDV,PF,LATEX-FREE) 100 MG
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
08/23/2022 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|