| Source NDC Code |
|
Target HCPCS Code |
64011-0247-02
MAKENA 250 MG/1 ML
|
⇄
|
J1725
INJECTION, HYDROXYPROGESTERONE CAPROATE, 1 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2016 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
64011-0247-02
MAKENA 250 MG/1 ML
|
⇄
|
J1726
INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
64011-0247-02
MAKENA 250 MG/1 ML
|
⇄
|
Q9986
INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2017 |
| Relationship End Date |
12/31/2017 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|