| Source HCPCS Code |
|
Target NDC Code |
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.
|
⇄
|
68516-4600-01
ALPHANATE (250-500 FVIII IU/5ML) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
5/14/2009 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
IU |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.
|
⇄
|
68516-4600-02
ALPHANATE (1000-1500 FVIII IU/10ML) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
5/29/2009 |
| Number Of Items In Ndc Package |
1500 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
IU |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.
|
⇄
|
68516-4601-01
ALPHANATE (SINGLE DOSE,250IU/5ML) 1 IU-1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
IU |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.
|
⇄
|
68516-4602-01
ALPHANATE (SINGLE DOSE,500IU/5ML) 1 IU-1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
IU |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.
|
⇄
|
68516-4603-02
ALPHANATE (SINGLE DOSE,1000IU/10ML) 1 IU-1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
IU |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.
|
⇄
|
68516-4604-02
ALPHANATE (SINGLE DOSE,1500IU/10ML) 1 IU-1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1500 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
IU |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4605-01
ALPHANATE 250-100 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4606-01
ALPHANATE 500-200 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4607-02
ALPHANATE 1,000-400 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4608-02
ALPHANATE 1,500-600 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
|
⇄
|
68516-4609-02
|
| 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 |
|
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4610-02
ALPHANATE 2,000-800 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
Injection, antihemophilic factor viii/von willebrand factor complex (human)...
|
⇄
|
68516-4611-01
ALPHANATE 250-100 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
09/28/2009 |
| Relationship End Date |
05/26/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
Injection, antihemophilic factor viii/von willebrand factor complex (human)...
|
⇄
|
68516-4612-01
ALPHANATE 500-200 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2009 |
| Relationship End Date |
10/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
Injection, antihemophilic factor viii/von willebrand factor complex (human)...
|
⇄
|
68516-4613-02
ALPHANATE 1,000-400 UNIT VI
|
| Detail Information |
| Relationship Start Date |
01/01/2009 |
| Relationship End Date |
02/29/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
Injection, antihemophilic factor viii/von willebrand factor complex (human)...
|
⇄
|
68516-4614-02
ALPHANATE 1,500-600 UNIT VI
|
| Detail Information |
| Relationship Start Date |
01/01/2009 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
Injection, antihemophilic factor viii/von willebrand factor complex (human)...
|
⇄
|
68516-4615-02
ALPHANATE 2,000-800 UNIT VI
|
| Detail Information |
| Relationship Start Date |
08/01/2018 |
| Relationship End Date |
02/29/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4616-01
ALPHANATE 250-100 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4617-01
ALPHANATE 500-200 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4618-02
ALPHANATE 1,000-400 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4619-02
ALPHANATE 1,500-600 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN),PER FACTOR VIII I.U.
|
⇄
|
68516-4620-02
ALPHANATE 2,000-800 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7186
Antihemophilic viii/vwf comp
|
⇄
|
68516-4616-01
Alphanate
|
| 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 |
|
|
|
|
J7186
Antihemophilic viii/vwf comp
|
⇄
|
68516-4617-01
Alphanate
|
| 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 |
|
|
|
|
J7186
Antihemophilic viii/vwf comp
|
⇄
|
68516-4618-02
Alphanate
|
| 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 |
|
|
|
|
J7186
Antihemophilic viii/vwf comp
|
⇄
|
68516-4619-02
Alphanate
|
| 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 |
|
|
|
|
J7186
Antihemophilic viii/vwf comp
|
⇄
|
68516-4620-02
Alphanate
|
| 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 |
|
|
|
|