| Source HCPCS Code |
|
Target NDC Code |
J0257
INJECTION, ALPHA 1 PROTEINASE INHIBITOR (HUMAN), (GLASSIA), 10 MG
|
⇄
|
00944-2884-01
GLASSIA (APRX 1000MG/50MLSOLN) 1 MG
|
| Detail Information |
| Relationship Start Date |
10/11/2010 |
| 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 |
|
|
|
J0257
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
|
⇄
|
00944-2884-02
GLASSIA 1 GM/50 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0257
INJECTION, ALPHA 1 PROTEINASE INHIBITOR (HUMAN), (GLASSIA), 10 MG
|
⇄
|
00944-2884-03
GLASSIA APPROX 4000MG/200ML 1 MG
|
| Detail Information |
| Relationship Start Date |
05/29/2025 |
| 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 |
|
|
|
J0257
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
|
⇄
|
00944-2884-04
GLASSIA 4 GM /200 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0257
INJECTION, ALPHA 1 PROTEINASE INHIBITOR (HUMAN), (GLASSIA), 10 MG
|
⇄
|
00944-2884-05
GLASSIA APPROX 5000MG/250ML 1 MG
|
| Detail Information |
| Relationship Start Date |
05/29/2025 |
| 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 |
|
|
|
J0257
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
|
⇄
|
00944-2884-06
GLASSIA 5 GM /250 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0257
Glassia injection
|
⇄
|
00944-2884-01
Glassia
|
| 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 |
|
|
|
|
J0257
Glassia injection
|
⇄
|
00944-2884-03
Glassia
|
| 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 |
|
|
|
|
J0257
Glassia injection
|
⇄
|
00944-2884-05
Glassia
|
| 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 |
|
|
|
|