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NDC 65862-0777-28 To HCPCS Mapping

NDC “65862-0777-28” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
65862-0777-28
TRI-MILI 28 TABLET 		⇄ S4993
CONTRACEPTIVE PILLS FOR BIRTH CONTROL
Detail Information
Relationship Start Date 10/30/2018
Relationship End Date 12/31/3999
Number Of Items In Ndc Package 28
Ndc Package Measure UN
Ndc Package Type BLIST PACK
Route Of Administration PO
Billing Units TAB