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NDC 50742-0659-28 To HCPCS Mapping

NDC “50742-0659-28” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
50742-0659-28
DOLISHALE 90-20 MCG TABLET 		⇄ S4993
Contraceptive pills for birth control
Detail Information
Relationship Start Date 04/01/2021
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