| Source HCPCS Code |
|
Target NDC Code |
J2802
INJECTION, ROMIPLOSTIM, 1 MICROGRAM
|
⇄
|
55513-0221-01
NPLATE LYOPHILIZED 250 MCG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J2802
INJECTION, ROMIPLOSTIM, 1 MICROGRAM
|
⇄
|
55513-0222-01
NPLATE LYOPHILIZED 500 MCG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J2802
INJECTION, ROMIPLOSTIM, 1 MICROGRAM
|
⇄
|
55513-0223-01
NPLATE LYOPHILIZED 125 MCG
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J2802
INJECTION, ROMIPLOSTIM, 1 MICROGRAM
|
⇄
|
55513-0223-21
Nplate LYOPHILIZED 125 MCG
|
| Detail Information |
| Relationship Start Date |
12/24/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J2802
Inj, romiplostim 1 microgram
|
⇄
|
55513-0221-01
Nplate
|
| 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 |
|
|
|
|
J2802
Inj, romiplostim 1 microgram
|
⇄
|
55513-0222-01
Nplate
|
| 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 |
|
|
|
|
J2802
Inj, romiplostim 1 microgram
|
⇄
|
55513-0223-01
Nplate
|
| 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 |
|
|
|
|
J2802
Inj, romiplostim 1 microgram
|
⇄
|
55513-0223-21
Nplate
|
| 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 |
|
|
|
|