| Source NDC Code |
|
Target HCPCS Code |
71225-0104-01
HYDROXYPROGEST 1,250 MG/5 M
|
⇄
|
J1726
Makena, 10 mg
|
| Detail Information |
| Relationship Start Date |
01/31/2019 |
| Relationship End Date |
04/06/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
71225-0104-01
HYDROXYPROGESTERONE CAPROATE (MULTI-DOSE VIAL) 250 MG/1 ML
|
⇄
|
J1729
INJECTION, HYDROXYPROGESTERONE CAPROATE, NOT OTHERWISE SPECIFIED, 10 MG
|
| Detail Information |
| Relationship Start Date |
01/02/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
71225-0104-01
Hydroxyprogesterone Caproate
|
⇄
|
J1726
Inj, Makena
|
| 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 |
|
|
|
|