| Source NDC Code |
|
Target HCPCS Code |
67457-0437-10
DOXYCYCLINE HYCLATE 100 MG VL
|
⇄
|
J1271
Injection, doxycycline hyclate, 1 mg
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| 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 |
|
|
|
67457-0437-10
DOXYCYCLINE HYC 100 MG VIAL
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
12/26/2018 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
67457-0437-10
Doxycycline Hyclate
|
⇄
|
J1271
Inj doxycycline hyclate 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 |
|
|
|
|