| Source NDC Code |
|
Target HCPCS Code |
42023-0203-01
LEVOTHYROXINE SODIUM (SINGLE USE,PF) 500 MCG
|
⇄
|
J0650
INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
42023-0203-01
LEVOTHYROXINE 500 MCG VIAL
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
11/16/2011 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
42023-0203-01
Levothyroxine Sodium
|
⇄
|
J0650
Inj, levothyroxine nos 10mcg
|
| 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 |
|
|
|
|