| Source HCPCS Code |
|
Target NDC Code |
J3245
INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG
|
⇄
|
00006-3713-25
AGGRASTAT (VIAL,PF) 0.25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2002 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3245
INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG
|
⇄
|
00006-3713-50
AGGRASTAT (VIAL,PF) 0.25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/30/2004 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3245
INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG
|
⇄
|
00006-3739-55
AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/16/2002 |
| Relationship End Date |
12/31/2004 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3245
INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG
|
⇄
|
00006-3739-96
AGGRASTAT (S.D. INTRA VIA P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2004 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3245
INJECTION, TILDRAKIZUMAB, 1 MG
|
⇄
|
47335-0177-95
ILUMYA (PF) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J3245
INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG
|
⇄
|
61379-0120-01
AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/1/2004 |
| Relationship End Date |
5/2/2004 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3245
INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG
|
⇄
|
61379-0120-02
AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/1/2004 |
| Relationship End Date |
5/2/2004 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3245
INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG
|
⇄
|
61379-0120-05
AGGRASTAT (PF) 0.25 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/1/2004 |
| Relationship End Date |
12/31/2004 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3245
Inj., tildrakizumab, 1 mg
|
⇄
|
47335-0177-95
Ilumya
|
| 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 |
|
|
|
|