NDC 42192-0623-28 To HCPCS Mapping

NDC “42192-0623-28” To HCPCS Crosswalk(s)

Source NDC Code

Target HCPCS Code

42192-0623-28
LEVONORGESTREL-ETH ESTRADIOL-FE BISGLYC 0.1-0.02-36.5 MG TAB

S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL

Detail Information

Relationship Start Date	09/28/2018
Relationship End Date	12/31/3999
Number Of Items In Ndc Package	28
Ndc Package Measure	UN
Ndc Package Type	BLIST PACK
Route Of Administration	PO
Billing Units	TAB