| Source HCPCS Code |
|
Target NDC Code |
J0888
Epoetin beta non-esrd use
|
⇄
|
59353-0400-09
MIRCERA 30 MCG/0.3 ML SYRIN
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0888
Epoetin beta non-esrd use
|
⇄
|
59353-0401-09
MIRCERA 50 MCG/0.3 ML SYRIN
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0888
Epoetin beta non-esrd use
|
⇄
|
59353-0402-09
MIRCERA 75 MCG/0.3 ML SYRIN
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0888
Epoetin beta non-esrd use
|
⇄
|
59353-0403-09
MIRCERA 100 MCG/0.3 ML SYRI
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0888
Epoetin beta non-esrd use
|
⇄
|
59353-0404-09
MIRCERA 150 MCG/0.3 ML SYRI
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0888
Epoetin beta non-esrd use
|
⇄
|
59353-0405-09
MIRCERA 200 MCG/0.3 ML SYRI
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0888
Epoetin beta non-esrd use
|
⇄
|
59353-0407-09
MIRCERA 120 MCG/0.3 ML SYRI
|
| Detail Information |
| Relationship Start Date |
01/06/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
0.3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0888
Epoetin beta non esrd
|
⇄
|
59353-0400-09
Mircera
|
| 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 |
|
|
|
|
J0888
Epoetin beta non esrd
|
⇄
|
59353-0401-09
Mircera
|
| 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 |
|
|
|
|
J0888
Epoetin beta non esrd
|
⇄
|
59353-0402-09
Mircera
|
| 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 |
|
|
|
|
J0888
Epoetin beta non esrd
|
⇄
|
59353-0403-09
Mircera
|
| 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 |
|
|
|
|
J0888
Epoetin beta non esrd
|
⇄
|
59353-0404-09
Mircera
|
| 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 |
|
|
|
|
J0888
Epoetin beta non esrd
|
⇄
|
59353-0405-09
Mircera
|
| 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 |
|
|
|
|