| Source NDC Code |
|
Target HCPCS Code |
54569-1411-00
DEPO-TESTOSTERONE (VIAL) 200 MG/ML
|
⇄
|
J1071
INJECTION, TESTOSTERONE CYPIONATE, 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2015 |
| Relationship End Date |
12/31/2018 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
54569-1411-00
DEPO-TESTOSTERONE (VIAL) 200 MG/ML
|
⇄
|
J1080
INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|