| Source NDC Code |
|
Target HCPCS Code |
69097-0909-50
LEUPROLIDE ACETATE LYOPHILIZED 22.5 MG
|
⇄
|
J1954
INJECTION, LEUPROLIDE ACETATE FOR DEPOT SUSPENSION (CIPLA), 7.5 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
05/13/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
69097-0909-50
LEUPROLIDE ACETATE (LYOPHILIZED) 22.5 MG
|
⇄
|
J9217
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
|
| Detail Information |
| Relationship Start Date |
11/11/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
69097-0909-50
Leuprolide Acetate
|
⇄
|
J1954
Inj leu acet lutr dpt 7.5 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 |
|
|
|
|