| Source NDC Code |
|
Target HCPCS Code |
71104-0911-01
ALPROLIX 500 UNIT NOMINAL
|
⇄
|
J7201
Injection, factor ix, fc fusion protein (recombinant), per iu
|
| Detail Information |
| Relationship Start Date |
05/29/2018 |
| 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 |
|
|
|
71104-0911-01
Alprolix
|
⇄
|
J7201
Factor ix alprolix recomb
|
| 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 |
|
|
|
|