| Source NDC Code |
|
Target HCPCS Code |
42023-0112-01
DELESTROGEN (1X5ML,MDV,USP) 40 MG/ML
|
⇄
|
J0970
INJECTION, ESTRADIOL VALERATE, UP TO 40 MG
|
| Detail Information |
| Relationship Start Date |
3/31/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
42023-0112-01
DELESTROGEN 40 MG/ML VIAL
|
⇄
|
J1380
Injection, estradiol valerate, up to 10 mg
|
| Detail Information |
| Relationship Start Date |
07/15/2017 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
42023-0112-01
|
⇄
|
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 |
|
|
|
|