| Source NDC Code |
|
Target HCPCS Code |
65757-0500-03
ARISTADA INITIO (LATEX-FREE) 675 MG/2.4 ML
|
⇄
|
J1942
INJECTION, ARIPIPRAZOLE LAUROXIL, 1 MG
|
| Detail Information |
| Relationship Start Date |
07/02/2018 |
| Relationship End Date |
09/30/2019 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
65757-0500-03
ARISTADA INITIO (LATEX-FREE) 675 MG/2.4 ML
|
⇄
|
J1943
INJECTION, ARIPIPRAZOLE LAUROXIL, (ARISTADA INITIO), 1 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
65757-0500-03
Aristada Initio
|
⇄
|
J1943
Inj., aristada initio, 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 |
|
|
|
|