| Source HCPCS Code |
|
Target NDC Code |
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0270-01
IXINITY 500 UNIT RANGE
|
| 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 |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0271-01
IXINITY 1,000 UNIT RANGE
|
| 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 |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0272-01
IXINITY 1,500 UNIT RANGE
|
| 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 |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0277-01
IXINITY 3,000 UNIT RANGE
|
| 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 |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0282-05
IXINITY 500 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0283-05
IXINITY 1,000 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0284-05
IXINITY 1,500 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
59137-0289-05
IXINITY 3,000 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
70504-0282-05
IXINITY 500 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
07/02/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
70504-0283-05
IXINITY 1,000 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
07/02/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
70504-0284-05
IXINITY 1,500 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
04/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
⇄
|
70504-0289-05
IXINITY 3,000 UNIT RANGE
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
AHF |
|
|
|
J7213
Inj, ixinity, 1 i.u.
|
⇄
|
59137-0282-05
Ixinity
|
| 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 |
|
|
|
|
J7213
Inj, ixinity, 1 i.u.
|
⇄
|
59137-0283-05
Ixinity
|
| 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 |
|
|
|
|
J7213
Inj, ixinity, 1 i.u.
|
⇄
|
59137-0284-05
Ixinity
|
| 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 |
|
|
|
|
J7213
Inj, ixinity, 1 i.u.
|
⇄
|
59137-0289-05
Ixinity
|
| 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 |
|
|
|
|