| Source NDC Code |
|
Target HCPCS Code |
23155-0848-51
MYCOPHENOLATE MOFETIL (USP,PF,LATEX-FREE) 200 MG/1 ML
|
⇄
|
J7517
MYCOPHENOLATE MOFETIL, ORAL, 250 MG
|
| Detail Information |
| Relationship Start Date |
09/25/2023 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
160 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
23155-0848-51
MYCOPHENOLATE MOFETIL USP,GUM FRUIT 200 MG/1 ML
|
⇄
|
J7528
MYCOPHENOLATE MOFETIL, FOR SUSPENSION, ORAL, 100 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
160 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
23155-0848-51
Mycophenolate Mofetil Oral Susp
|
⇄
|
J7528
Mycophen mofetil for susp
|
| 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 |
|
|
|
|