| Source NDC Code |
|
Target HCPCS Code |
59148-0232-12
ABILIFY MAINTENA ER 300 MG VL
|
⇄
|
J0401
INJECTION, ARIPIPRAZOLE (ABILIFY MAINTENA), 1 MG
|
| Detail Information |
| Relationship Start Date |
03/31/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
59148-0232-12
Abilify Maintena
|
⇄
|
J0401
Inj, abilify maintena, 1 mg
|
| 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 |
|
|
|
|