| Source NDC Code |
|
Target HCPCS Code |
62935-0153-50
FENSOLVI 45 MG SYRINGE KIT
|
⇄
|
J1950
Injection, leuprolide acetate (for depot suspension), per 3.75 mg
|
| Detail Information |
| Relationship Start Date |
06/05/2020 |
| Relationship End Date |
06/30/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
62935-0153-50
FENSOLVI 45 MG SYRINGE KIT
|
⇄
|
J1951
Inj, leuprolide acetate for depot suspension (fensolvi), 0.25 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
62935-0153-50
FENSOLVI
|
⇄
|
J1951
Inj fensolvi 0.25 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 |
|
|
|
|