| Source HCPCS Code |
|
Target NDC Code |
J7173
Injection, concizumab-mtci, 0.5 mg
|
⇄
|
00169-2080-15
ALHEMO 150 MG/1.5 ML PEN
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J7173
Injection, concizumab-mtci, 0.5 mg
|
⇄
|
00169-2081-03
ALHEMO 300 MG/3 ML PEN
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J7173
Injection, concizumab-mtci, 0.5 mg
|
⇄
|
00169-2084-15
ALHEMO 60 MG/1.5 ML PEN
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J7173
Inj. concizumab-mtci, 0.5 mg
|
⇄
|
00169-2080-15
Alhemo
|
| 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 |
|
|
|
|
J7173
Inj. concizumab-mtci, 0.5 mg
|
⇄
|
00169-2081-03
Alhemo
|
| 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 |
|
|
|
|
J7173
Inj. concizumab-mtci, 0.5 mg
|
⇄
|
00169-2084-15
Alhemo
|
| 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 |
|
|
|
|