| Source HCPCS Code |
|
Target NDC Code |
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00074-7418-03
LMD W/5% DEXTROSE (LATEX-FREE) 10%-5%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/13/2006 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
GC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00074-7419-03
LMD W/0.9% SODIUM CHLORIDE (LATEX-FREE) 10%-0.9%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/8/2005 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
GC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00264-1962-10
DEXTRAN-40 W/DEXTROSE (GLASS CONTAINER) 10%-5%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/9/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
GC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00264-1963-10
DEXTRAN-40 W/NACL 10%-0.9%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/9/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
GC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00338-0270-03
GENTRAN 40 W/SODIUM CHLORIDE 10%-0.9%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
|
⇄
|
00338-0271-03
|
| 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 |
|
|
|
|
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00338-0272-03
GENTRAN 40 W/DEXTROSE 10%-5%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00409-7418-03
LMD IN DEXTROSE (12X500ML,LATEX-FREE) 10%-5%
|
| Detail Information |
| Relationship Start Date |
02/14/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
INFUSION, DEXTRAN 40, 500 ML
|
⇄
|
00409-7419-03
LMD W/0.9% SODIUM CHLORIDE (LATEX-FREE) 10%-0.9%
|
| Detail Information |
| Relationship Start Date |
08/09/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7100
|
⇄
|
61563-0211-65
|
| 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 |
|
|
|
|
J7100
|
⇄
|
61563-0212-65
|
| 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 |
|
|
|
|