| Source NDC Code |
|
Target HCPCS Code |
76045-0009-11
SIMPLIST DILAUDID (MICROVAULT,PF) 1 MG/1 ML
|
⇄
|
J1170
INJECTION, HYDROMORPHONE, UP TO 4 MG
|
| Detail Information |
| Relationship Start Date |
07/12/2019 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
76045-0009-11
SIMPLIST DILAUDID (MICROVAULT,PF) 1 MG/1 ML
|
⇄
|
J1171
INJECTION, HYDROMORPHONE, 0.1 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
76045-0009-11
Dilaudid
|
⇄
|
J1171
Inj, hydromorphone, 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 |
|
|
|
|