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NDC 65757-0302-02 To HCPCS Mapping

NDC “65757-0302-02” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
65757-0302-02
VIVITROL 380 MG VIAL 		⇄ J2315
Injection, naltrexone, depot form, 1 mg
Detail Information
Relationship Start Date 10/01/2020
Relationship End Date 12/31/3999
Number Of Items In Ndc Package 1
Ndc Package Measure UN
Ndc Package Type VIAL
Route Of Administration IJ
Billing Units EA