| Source NDC Code |
|
Target HCPCS Code |
54569-3701-00
DEPO-PROVERA CONTRACEPTIVE (VIAL) 150 MG/ML
|
⇄
|
J1050
INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2013 |
| Relationship End Date |
12/31/2018 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
54569-3701-00
DEPO-PROVERA CONTRACEPTIVE (VIAL) 150 MG/ML
|
⇄
|
J1055
INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2004 |
| Relationship End Date |
12/31/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|