| Source NDC Code |
|
Target HCPCS Code |
72266-0261-01
LEVOTHYROXINE SODIUM LYOPHILIZED 100 MCG
|
⇄
|
J0650
INJECTION, LEVOTHYROXINE SODIUM, NOT OTHERWISE SPECIFIED, 10 MCG
|
| Detail Information |
| Relationship Start Date |
09/04/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
72266-0261-01
Levothyroxine Sodium
|
⇄
|
J0650
Inj, levothyroxine nos 10mcg
|
| 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 |
|
|
|
|