| Source NDC Code |
|
Target HCPCS Code |
59137-0289-05
IXINITY 3,000 UNIT RANGE
|
⇄
|
J7195
Factor ix (antihemophilic factor, recombinant) per i.u.
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
59137-0289-05
IXINITY 3,000 UNIT RANGE
|
⇄
|
J7213
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
|
| 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 |
|
|
|
59137-0289-05
Ixinity
|
⇄
|
J7213
Inj, ixinity, 1 i.u.
|
| 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 |
|
|
|
|