| Source HCPCS Code |
|
Target NDC Code |
J7194
FACTOR IX, COMPLEX, PER I.U.
|
⇄
|
00944-0581-01
PROPLEX T (ACTIVATED IN 30 ML) (700-3900 IU) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2006 |
| Number Of Items In Ndc Package |
3900 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7194
FACTOR IX, COMPLEX, PER I.U.
|
⇄
|
49669-3200-02
PROFILNINE SD (APPROX. 500 IU/VIAL) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/24/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7194
FACTOR IX, COMPLEX, PER I.U.
|
⇄
|
49669-3200-03
PROFILNINE SD (APPROX 1000-1500IU/VIAL) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/24/2003 |
| Number Of Items In Ndc Package |
1250 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7194
FACTOR IX, COMPLEX, PER I.U.
|
⇄
|
64193-0244-02
BEBULIN VH (VAPOR HEATED) (200-1200 IU) 1 IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1200 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7194
|
⇄
|
64193-0445-02
|
| 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 |
|
|
|
|
J7194
FACTOR IX, COMPLEX, PER I.U.
|
⇄
|
68516-3200-02
PROFILNINE SD (APPROX. 500 IU/VIAL) 1 IU
|
| Detail Information |
| Relationship Start Date |
7/25/2003 |
| 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 |
|
|
|
J7194
FACTOR IX, COMPLEX, PER I.U.
|
⇄
|
68516-3200-03
PROFILNINE SD (APPROX 1000-1500IU/VIAL) 1 IU
|
| Detail Information |
| Relationship Start Date |
7/25/2003 |
| Relationship End Date |
4/30/2009 |
| Number Of Items In Ndc Package |
1250 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7194
|
⇄
|
68516-3200-04
|
| 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 |
|
|
|
|
J7194
|
⇄
|
68516-3200-05
|
| 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 |
|
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3201-01
PROFILNINE SD 500 UNITS VIAL
|
| Detail Information |
| Relationship Start Date |
06/02/1995 |
| Relationship End Date |
10/31/2019 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3202-02
PROFILNINE SD 1,000 UNITS VIAL
|
| Detail Information |
| Relationship Start Date |
06/02/1995 |
| Relationship End Date |
03/31/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3203-02
PROFILNINE SD 1,500 UNITS VIAL
|
| Detail Information |
| Relationship Start Date |
06/02/1995 |
| Relationship End Date |
03/31/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3204-01
PROFILNINE 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3205-02
PROFILNINE 1,000 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3206-02
PROFILNINE 1,500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2019 |
| 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3207-01
PROFILNINE 500 UNIT VIAL
|
| 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3208-02
PROFILNINE 1,000 UNIT VIAL
|
| 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3209-02
PROFILNINE 1,500 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3210-01
PROFILNINE 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2022 |
| 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3211-02
PROFILNINE 1,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2022 |
| 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 |
|
|
|
J7194
Factor ix, complex, per i.u.
|
⇄
|
68516-3212-02
PROFILNINE 1,500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| 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 |
|
|
|
J7194
Factor ix complex
|
⇄
|
68516-3207-01
Profilnine� SD FIX SD M2V(500)
|
| 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 |
|
|
|
|
J7194
Factor ix complex
|
⇄
|
68516-3208-02
Profilnine� SD FIX SD M2V(1000)
|
| 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 |
|
|
|
|
J7194
Factor ix complex
|
⇄
|
68516-3209-02
Profilnine� SD FIX SD M2V(1500)
|
| 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 |
|
|
|
|
J7194
Factor ix complex
|
⇄
|
68516-3210-01
Profilnine
|
| 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 |
|
|
|
|
J7194
Factor ix complex
|
⇄
|
68516-3211-02
Profilnine
|
| 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 |
|
|
|
|
J7194
Factor ix complex
|
⇄
|
68516-3212-02
Profilnine
|
| 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 |
|
|
|
|