| Source HCPCS Code |
|
Target NDC Code |
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3821-25
KOVALTRY 250 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| 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 |
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3822-25
KOVALTRY 500 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| 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 |
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3824-25
KOVALTRY 1,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| 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 |
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3826-50
KOVALTRY 2,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| 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 |
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3828-50
KOVALTRY 3,000 UNIT KIT
|
| Detail Information |
| Relationship Start Date |
01/01/2018 |
| 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 |
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3821-25
KOVALTRY
|
| 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 |
|
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3822-25
KOVALTRY
|
| 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 |
|
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3824-25
KOVALTRY
|
| 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 |
|
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3826-50
KOVALTRY
|
| 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 |
|
|
|
|
J7211
Inj, kovaltry, 1 i.u.
|
⇄
|
00026-3828-50
KOVALTRY
|
| 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 |
|
|
|
|