| Source NDC Code |
|
Target HCPCS Code |
71288-0030-21
DOXYCYCLINE USP, SDV,LYOPHILIZED 100 MG
|
⇄
|
J1271
INJECTION, DOXYCYCLINE HYCLATE, 1 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
71288-0030-21
DOXYCYCLINE USP, SDV,LYOPHILIZED 100 MG
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
11/25/2024 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
71288-0030-21
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 |
|
|
|
|