| Source NDC Code |
|
Target HCPCS Code |
63323-0649-94
LEVOTHYROXINE 100 MCG VIAL
|
⇄
|
J0650
Injection, levothyroxine sodium, not otherwise specified, 10 mcg
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
63323-0649-94
LEVOTHYROXINE 100 MCG VIAL
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
11/16/2011 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
63323-0649-94
Levothyroxine Sodium
|
⇄
|
J0650
Inj, levothyroxine nos 10mcg
|
| 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 |
|
|
|
|