| Source HCPCS Code |
|
Target NDC Code |
J7208
Inj jivi 1 iu
|
⇄
|
00026-3942-25
JIVI 500 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| 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 |
|
|
|
J7208
Inj jivi 1 iu
|
⇄
|
00026-3944-25
JIVI 1,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| 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 |
|
|
|
J7208
Inj jivi 1 iu
|
⇄
|
00026-3946-25
JIVI 2,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| 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 |
|
|
|
J7208
Inj jivi 1 iu
|
⇄
|
00026-3948-25
JIVI 3,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| 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 |
|
|
|
J7208
Injection, factor vii, (antihemophilic factor, recombinant), pegylated-auci, (Jivi), 1 i.u.
|
⇄
|
00026-3950-50
JIVI 4,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| 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 |
|
|
|
J7208
Injection, factor vii, (antihemophilic factor, recombinant), pegylated-auci, (Jivi), 1 i.u.
|
⇄
|
00026-4942-01
JIVI 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 |
|
|
|
J7208
Injection, factor vii, (antihemophilic factor, recombinant), pegylated-auci, (Jivi), 1 i.u.
|
⇄
|
00026-4944-01
JIVI 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 |
|
|
|
J7208
Injection, factor vii, (antihemophilic factor, recombinant), pegylated-auci, (Jivi), 1 i.u.
|
⇄
|
00026-4946-01
JIVI 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 |
|
|
|
J7208
Injection, factor vii, (antihemophilic factor, recombinant), pegylated-auci, (Jivi), 1 i.u.
|
⇄
|
00026-4948-01
JIVI 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 |
|
|
|
J7208
Injection, factor vii, (antihemophilic factor, recombinant), pegylated-auci, (Jivi), 1 i.u.
|
⇄
|
00026-4950-01
JIVI 4,000 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| 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 |
|
|
|
J7208
Inj. jivi 1 iu
|
⇄
|
00026-3942-25
Jivi
|
| 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 |
|
|
|
|
J7208
Inj. jivi 1 iu
|
⇄
|
00026-3944-25
Jivi
|
| 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 |
|
|
|
|
J7208
Inj. jivi 1 iu
|
⇄
|
00026-3946-25
Jivi
|
| 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 |
|
|
|
|
J7208
Inj. jivi 1 iu
|
⇄
|
00026-3948-25
Jivi
|
| 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 |
|
|
|
|
J7208
Inj. jivi 1 iu
|
⇄
|
00026-3950-50
Jivi
|
| 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 |
|
|
|
|