| Source NDC Code |
|
Target HCPCS Code |
83831-0134-01
LUTRATE DEPOT LYOPHILIZED 22.5 MG
|
⇄
|
J1954
INJECTION, LEUPROLIDE ACETATE FOR DEPOT SUSPENSION (LUTRATE DEPOT), 7.5 MG
|
| Detail Information |
| Relationship Start Date |
03/26/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
83831-0134-01
Lutrate Depot
|
⇄
|
J1954
Inj leu acet lutr dpt 7.5 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 |
|
|
|
|