| Source HCPCS Code |
|
Target NDC Code |
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00338-1047-02
NITROGLYCERIN-DEXTROSE 5%-10 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00338-1049-02
NITROGLYCERIN-DEXTROSE 5%-20 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00338-1051-02
NITROGLYCERIN-DEXTROSE 5%-40 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00409-1482-02
NITROGLYCERIN-DEXTROSE (LATEX-FREE) 5%-20 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00409-1483-02
NITROGLYCERIN-DEXTROSE (LATEX-FREE) 5%-10 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00409-1483-03
NITROGLYCERIN-DEXTROSE (12X500ML,LATEX-FREE) 5%-10 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00409-1484-02
NITROGLYCERIN-DEXTROSE (LATEX-FREE) 5%-40 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
Injection, nitroglycerin, 5 mg
|
⇄
|
00517-4810-01
NITROGLYCERIN 50 MG/10 ML V
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| 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 |
|
|
|
J2305
INJECTION, NITROGLYCERIN, 5 MG
|
⇄
|
00517-4810-25
NITROGLYCERIN (S.D.V.,PF) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2305
Inj, nitroglycerin, 5 mg
|
⇄
|
00517-4810-25
Nitroglycerin
|
| 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 |
|
|
|
|
J2305
Inj, nitroglycerin, 5 mg
|
⇄
|
00338-1047-02
Nitroglycerin In D5W
|
| 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 |
|
|
|
|
J2305
Inj, nitroglycerin, 5 mg
|
⇄
|
00338-1049-02
Nitroglycerin In D5W
|
| 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 |
|
|
|
|
J2305
Inj, nitroglycerin, 5 mg
|
⇄
|
00338-1051-02
Nitroglycerin In D5W
|
| 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 |
|
|
|
|
J2305
Inj, nitroglycerin, 5 mg
|
⇄
|
51662-1386-01
Nitroglycerin
|
| 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 |
|
|
|
|
J2305
Inj, nitroglycerin, 5 mg
|
⇄
|
00404-9928-10
Nitroglycerin
|
| 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 |
|
|
|
|