| Source HCPCS Code |
|
Target NDC Code |
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00074-2043-02
DIPYRIDAMOLE (AMP,UNI-NEST,LATEX-FREE) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/30/2005 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00074-2043-10
DIPYRIDAMOLE (AMP,UNI-NEST,LATEX-FREE) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/16/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00409-2043-02
DIPYRIDAMOLE (AMP,UNI-NEST,LATEX-FREE) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
3/31/2005 |
| Relationship End Date |
10/5/2016 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00641-1138-34
DIPYRIDAMOLE (DOSETTE AMP) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/11/2004 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00641-1139-31
DIPYRIDAMOLE (DOSETTE AMP) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/29/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00641-2569-41
DIPYRIDAMOLE (SDV) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
05/05/2007 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
Injection, dipyridamole, per 10 mg
|
⇄
|
00641-2569-44
DIPYRIDAMOLE 5 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
06/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
|
⇄
|
00703-1652-01
|
| 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 |
|
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00703-1652-02
DIPYRIDAMOLE (S.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
|
⇄
|
00703-1654-01
|
| 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 |
|
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
00703-1654-02
DIPYRIDAMOLE (S.D.V.) 5 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 |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
11994-0005-05
IV PERSANTINE (VIAL) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/6/2003 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
38779-2062-04
DIPYRIDAMOLE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
4/25/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
38779-2062-05
DIPYRIDAMOLE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
4/25/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
38779-2062-08
DIPYRIDAMOLE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
4/25/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
49452-2641-03
DIPYRIDAMOLE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| 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 |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
49452-2641-04
DIPYRIDAMOLE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| 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 |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
49452-2641-05
DIPYRIDAMOLE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| 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 |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
49452-2641-06
DIPYRIDAMOLE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
11/15/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
51927-1571-00
DIPYRIDAMOLE (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 |
|
|
|
J1245
|
⇄
|
54569-5646-00
|
| 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 |
|
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
55390-0555-01
DIPYRIDAMOLE (S.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/1/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
55390-0555-10
DIPYRIDAMOLE (S.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/2/2011 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
55390-0555-90
DIPYRIDAMOLE 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/8/2005 |
| Relationship End Date |
5/2/2011 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
60505-0715-00
DIPYRIDAMOLE 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/1/2004 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
60505-0715-01
DIPYRIDAMOLE (10X10) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/1/2004 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
63323-0613-02
DIPYRIDAMOLE (S.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/18/2006 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
INJECTION, DIPYRIDAMOLE, PER 10 MG
|
⇄
|
63323-0613-10
DIPYRIDAMOLE (S.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/18/2006 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1245
Dipyridamole injection
|
⇄
|
00404-9852-10
Dipyridamole
|
| 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 |
|
|
|
|
J1245
Dipyridamole injection
|
⇄
|
00641-2569-44
Dipyridamole
|
| 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 |
|
|
|
|