| Source HCPCS Code |
|
Target NDC Code |
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7901-01
REBINYN 1,000 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 |
|
|
|
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7902-01
REBINYN 2,000 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 |
|
|
|
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7903-01
REBINYN 3,000 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 |
|
|
|
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7905-01
REBINYN 500 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 |
|
|
|
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7911-11
REBINYN 1,000 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 |
|
|
|
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7922-11
REBINYN 2,000 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 |
|
|
|
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7933-11
REBINYN 3,000 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 |
|
|
|
J7203
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
|
⇄
|
00169-7955-11
REBINYN 500 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 |
|
|
|
J7203
Factor ix recomb gly rebinyn
|
⇄
|
00169-7901-01
Rebinyn
|
| 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 |
|
|
|
|
J7203
Factor ix recomb gly rebinyn
|
⇄
|
00169-7902-01
Rebinyn
|
| 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 |
|
|
|
|
J7203
Factor ix recomb gly rebinyn
|
⇄
|
00169-7903-01
Recombi
|
| 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 |
|
|
|
|
J7203
Factor ix recomb gly rebinyn
|
⇄
|
00169-7905-01
Rebinyn
|
| 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 |
|
|
|
|