| Source HCPCS Code |
|
Target NDC Code |
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-6139-03
WATER FOR IRRIGATION (AQUALITE,PF,LATEX-FREE)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-6139-22
WATER FOR IRRIGATION (AQUALITE,PF,LATEX-FREE)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-7118-07
WATER FOR IRRIGATION (BULK PACKAGE,PF)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
2000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-7139-09
WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/7/2002 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-7139-36
WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
1500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-7973-05
WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/7/2002 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-7973-07
WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
2000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00074-7973-08
WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
3000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00264-2101-00
WATER FOR IRRIGATION (PIC CONTAINER)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00264-2101-10
WATER FOR IRRIGATION (PIC CONTAINER)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00264-2101-50
WATER FOR IRRIGATION (PIC CONTAINER)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
2000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00264-2101-70
WATER FOR IRRIGATION (PIC CONTAINER)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
4000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0003-44
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0003-46
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
2000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0003-47
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
3000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0003-49
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
5000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0004-02
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0004-03
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0004-04
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
00338-0004-05
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
1500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
⇄
|
54868-4296-00
WATER FOR IRRIGATION
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|