| Source NDC Code |
|
Target HCPCS Code |
71288-0415-21
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
|
⇄
|
J1596
INJECTION, GLYCOPYRROLATE, 0.1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
71288-0415-21
GLYCOPYRROLATE 4 MG/20 ML V
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
06/10/2022 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
71288-0415-21
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
|
⇄
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
| Detail Information |
| Relationship Start Date |
05/02/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
71288-0415-21
Glycopyrrolate Injection
|
⇄
|
J1596
Inj, glycopyrrolate, 0.1 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 |
|
|
|
|