| Source HCPCS Code |
|
Target NDC Code |
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0012-01
XYNTHA 250 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0013-01
XYNTHA 500 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0014-01
XYNTHA 1,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0015-01
XYNTHA 2,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2000 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0016-03
XYNTHA SOLOFUSE 3,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3000 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0022-03
XYNTHA SOLOFUSE 250 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0023-03
XYNTHA SOLOFUSE 500 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0024-03
XYNTHA SOLOFUSE 1,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
|
⇄
|
58394-0025-03
XYNTHA SOLOFUSE 2,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2000 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0012-01
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0013-01
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0014-01
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0015-01
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0016-03
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0022-03
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0023-03
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0024-03
Xyntha
|
| 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 |
|
|
|
|
J7185
Xyntha inj
|
⇄
|
58394-0025-03
Xyntha
|
| 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 |
|
|
|
|