| Source NDC Code |
|
Target HCPCS Code |
68516-4601-01
ALPHANATE (SINGLE DOSE,250IU/5ML) 1 IU-1 IU
|
⇄
|
J7186
INJECTION, ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN), PER FACTOR VIII I.U.
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
IU |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
IU |
|
|
|
68516-4601-01
|
⇄
|
J7190
|
| 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 |
|
|
|
|
68516-4601-01
ALPHANATE (SINGLE DOSE,250IU/5ML) 1 IU-1 IU
|
⇄
|
Q4096
INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF:RCO
|
| Detail Information |
| Relationship Start Date |
4/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|