| Source NDC Code |
|
Target HCPCS Code |
38779-0855-04
TESTOSTERONE ENANTHATE
|
⇄
|
J3121
INJECTION, TESTOSTERONE ENANTHATE,1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
38779-0855-04
TESTOSTERONE ENANTHATE
|
⇄
|
J3130
INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG
|
| Detail Information |
| Relationship Start Date |
4/25/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|