| Source HCPCS Code |
|
Target NDC Code |
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7810-01
NOVOEIGHT 1,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| 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 |
AHF |
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7815-01
NOVOEIGHT 1,500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| 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 |
AHF |
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7820-01
NOVOEIGHT 2,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| 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 |
AHF |
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7825-01
NOVOEIGHT 250 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| 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 |
AHF |
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7830-01
NOVOEIGHT 3,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| 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 |
AHF |
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7850-01
NOVOEIGHT 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| 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 |
AHF |
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7810-01
Novoeight
|
| 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 |
|
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7815-01
Novoeight
|
| 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 |
|
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7820-01
Novoeight
|
| 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 |
|
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7825-01
Novoeight
|
| 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 |
|
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7830-01
Novoeight
|
| 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 |
|
|
|
|
J7182
Factor viii recomb novoeight
|
⇄
|
00169-7850-01
Novoeight
|
| 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 |
|
|
|
|