| Source NDC Code |
|
Target HCPCS Code |
59676-0320-04
PROCRIT (MULTIDOSE) 20000 U/ML
|
⇄
|
J0885
INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS
|
| Detail Information |
| Relationship Start Date |
01/01/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
59676-0320-04
PROCRIT (MULTIDOSE) 20000 U/ML
|
⇄
|
J0886
INJECTION, EPOETIN ALFA, 1000 UNITS, (FOR ESRD ON DIALYSIS)
|
| Detail Information |
| Relationship Start Date |
10/15/2007 |
| Relationship End Date |
12/31/2015 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
59676-0320-04
PROCRIT 20,000 UNITS/ML VIAL
|
⇄
|
Q4081
Injection, epoetin alfa, 100 units (for esrd on dialysis)
|
| Detail Information |
| Relationship Start Date |
10/15/2017 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
59676-0320-04
Procrit
|
⇄
|
J0885
Epoetin alfa, non-esrd
|
| 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 |
|
|
|
|
59676-0320-04
Procrit
|
⇄
|
Q4081
Epoetin alfa, 100 units esrd
|
| 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 |
|
|
|
|