| Source HCPCS Code |
|
Target NDC Code |
J7171
Injection, adamts13, recombinant-krhn, 10 iu
|
⇄
|
64764-0130-01
ADZYNMA 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J7171
Injection, adamts13, recombinant-krhn, 10 iu
|
⇄
|
64764-0135-01
ADZYNMA 1,500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J7171
INJECTION, ADAMTS13, RECOMBINANT-KRHN, 10 IU
|
⇄
|
64764-0140-05
ADZYNMA (APPROX. 500IU,PF) 1 IU
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7171
INJECTION, ADAMTS13, RECOMBINANT-KRHN, 10 IU
|
⇄
|
64764-0145-05
ADZYNMA (APPROX. 1500IU,PF) 1 IU
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7171
Inj, adzynma, 10 iu
|
⇄
|
64764-0140-05
Adzynma
|
| 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 |
|
|
|
|
J7171
Inj, adzynma, 10 iu
|
⇄
|
64764-0145-05
Adzynma
|
| 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 |
|
|
|
|