| Source HCPCS Code |
|
Target NDC Code |
J3246
|
⇄
|
00006-3739-43
|
| 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 |
|
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
00006-3739-55
AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
9/30/2005 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
00006-3739-96
AGGRASTAT (S.D. INTRA VIA P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
10/31/2005 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
25208-0001-04
AGGRASTAT (PF) 0.25 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25 MG
|
⇄
|
25208-0002-01
AGGRASTAT (1X100ML) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
04/01/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
25208-0002-02
AGGRASTAT (1X250ML) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
04/01/2008 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
25208-0002-03
AGGRASTAT (1X100ML) 0.05 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/01/2016 |
| Relationship End Date |
03/01/2023 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
|
⇄
|
25208-0020-01
|
| 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 |
|
|
|
|
J3246
|
⇄
|
25208-0020-02
|
| 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 |
|
|
|
|
J3246
Injection, tirofiban hcl, 0.25mg
|
⇄
|
55150-0429-01
TIROFIBAN 5 MG/100 ML BAG
|
| Detail Information |
| Relationship Start Date |
07/25/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
Injection, tirofiban hcl, 0.25mg
|
⇄
|
55150-0430-01
TIROFIBAN 12.5 MG/250 ML BA
|
| Detail Information |
| Relationship Start Date |
07/25/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
|
⇄
|
61379-0012-05
|
| 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 |
|
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
61379-0120-01
AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/1/2005 |
| Relationship End Date |
3/31/2008 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
61379-0120-02
AGGRASTAT (S.D. INTRA VIA,P.C.) 0.05 MG/ML
|
| Detail Information |
| Relationship Start Date |
11/1/2005 |
| Relationship End Date |
3/31/2008 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
INJECTION, TIROFIBAN HCL, 0.25MG
|
⇄
|
61379-0120-05
AGGRASTAT (PF) 0.25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
4/1/2008 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3246
Tirofiban hcl
|
⇄
|
55150-0429-01
Tirofiban
|
| 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 |
|
|
|
|
J3246
Tirofiban hcl
|
⇄
|
55150-0430-01
Tirofiban
|
| 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 |
|
|
|
|
J3246
Tirofiban hcl
|
⇄
|
25208-0001-04
Aggrastat
|
| 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 |
|
|
|
|
J3246
Tirofiban hcl
|
⇄
|
25208-0002-01
Aggrastat
|
| 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 |
|
|
|
|
J3246
Tirofiban hcl
|
⇄
|
25208-0002-02
Aggrastat
|
| 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 |
|
|
|
|
J3246
Tirofiban hcl
|
⇄
|
25208-0002-03
Aggrastat
|
| 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 |
|
|
|
|