| Source HCPCS Code |
|
Target NDC Code |
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
00223-7475-10
DIMENHYDRINATE (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
00314-0661-70
HYDRATE (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2006 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
00463-1086-10
DIMENHYDRINATE (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/30/2013 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
38779-0281-04
DIMENHYDRINATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
02/05/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
38779-0281-05
DIMENHYDRINATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
2/5/2002 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
38779-0281-08
DIMENHYDRINATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
2/5/2002 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
49452-2615-01
DIMENHYDRINATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/28/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
49452-2615-02
DIMENHYDRINATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/28/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
49452-2615-03
DIMENHYDRINATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/28/2002 |
| Relationship End Date |
1/1/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
51552-0676-04
DIMENHYDRINATE (1X25GM,USP)
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
51552-0676-05
DIMENHYDRINATE (1X100GM,USP)
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
51927-1080-00
DIMENHYDRINATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
09/08/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1240
INJECTION, DIMENHYDRINATE, UP TO 50 MG
|
⇄
|
63323-0366-01
DIMENHYDRINATE (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
07/01/2004 |
| 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 |
|
|
|
J1240
Dimenhydrinate injection
|
⇄
|
63323-0366-01
Dimenhydrinate
|
| 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 |
|
|
|
|