| Source HCPCS Code |
|
Target NDC Code |
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
00053-6233-02
MONONINE 1,000 UNITS KIT
|
| Detail Information |
| Relationship Start Date |
06/01/2002 |
| Relationship End Date |
12/10/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7193
FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.
|
⇄
|
00053-7668-01
MONONINE (250 IU) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7193
FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.
|
⇄
|
00053-7668-02
MONONINE (500 IU) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7193
FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.
|
⇄
|
00053-7668-04
MONONINE (1000 IU) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7193
FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.
|
⇄
|
49669-3600-02
ALPHANINE SD (250-1500 FIX I.U/VIAL) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/24/2003 |
| Number Of Items In Ndc Package |
850 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7193
FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U.
|
⇄
|
68516-3600-02
ALPHANINE SD (250-1500 FIX I.U/VIAL) 1 IU
|
| Detail Information |
| Relationship Start Date |
7/25/2003 |
| Relationship End Date |
6/30/2008 |
| Number Of Items In Ndc Package |
850 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7193
|
⇄
|
68516-3600-04
|
| 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 |
|
|
|
|
J7193
|
⇄
|
68516-3600-05
|
| 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 |
|
|
|
|
J7193
|
⇄
|
68516-3600-06
|
| 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 |
|
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3601-02
ALPHANINE SD 500 UNITS VIAL
|
| Detail Information |
| Relationship Start Date |
06/01/2002 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7193
|
⇄
|
68516-3602-02
|
| 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 |
|
|
|
|
J7193
|
⇄
|
68516-3603-02
|
| 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 |
|
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3604-02
ALPHANINE SD 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2018 |
| 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 |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3605-02
ALPHANINE SD 1,000 UNIT VIA
|
| Detail Information |
| Relationship Start Date |
07/01/2018 |
| 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 |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3606-02
ALPHANINE SD 1,500 UNIT VIA
|
| Detail Information |
| Relationship Start Date |
07/01/2018 |
| 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 |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3607-02
ALPHANINE SD 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
04/30/2004 |
| Relationship End Date |
05/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3608-02
ALPHANINE SD 1,000 UNIT VIA
|
| Detail Information |
| Relationship Start Date |
04/30/2004 |
| Relationship End Date |
02/28/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3609-02
ALPHANINE SD 1,500 UNIT VIA
|
| Detail Information |
| Relationship Start Date |
04/30/2004 |
| 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 |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3610-02
ALPHANINE SD 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| 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 |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3611-02
ALPHANINE SD 1,000 UNIT VIA
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| 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 |
|
|
|
J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
|
⇄
|
68516-3612-02
ALPHANINE SD 1,500 UNIT VIA
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| 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 |
|
|
|
J7193
Factor ix non-recombinant
|
⇄
|
68516-3607-02
Alphanine�SD VF 500 IU M2V USA
|
| 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 |
|
|
|
|
J7193
Factor ix non-recombinant
|
⇄
|
68516-3608-02
Alphanine�SD VF 1000 IU M2V USA
|
| 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 |
|
|
|
|
J7193
Factor ix non-recombinant
|
⇄
|
68516-3609-02
Alphanine�SD VF 1500 IU M2V USA
|
| 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 |
|
|
|
|
J7193
Factor ix non-recombinant
|
⇄
|
68516-3610-02
Alphanine SD
|
| 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 |
|
|
|
|
J7193
Factor ix non-recombinant
|
⇄
|
68516-3611-02
Alphanine SD
|
| 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 |
|
|
|
|
J7193
Factor ix non-recombinant
|
⇄
|
68516-3612-02
Alphanine SD
|
| 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 |
|
|
|
|