| Source HCPCS Code |
|
Target NDC Code |
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
00378-6997-89
Sodium Chloride 50X15ML 3%
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
00487-9003-30
Sodium Chloride 3%
|
| Detail Information |
| Relationship Start Date |
05/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
00487-9003-60
Sodium Chloride 60 X 4ML 3%
|
| Detail Information |
| Relationship Start Date |
02/21/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
00487-9007-60
Sodium Chloride 7%
|
| Detail Information |
| Relationship Start Date |
03/13/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
17271-0703-06
SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 3%
|
| Detail Information |
| Relationship Start Date |
06/01/2021 |
| 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 |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
50190-0141-23
Sodium Chloride 60X4ML, USP 7%
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
50190-0523-22
NebuSal 60X4ML 6%
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
50190-0740-60
PulmoSal (pH+) 60X4ML 7%
|
| Detail Information |
| Relationship Start Date |
11/07/2013 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
63323-0090-20
SODIUM CHLORIDE (PF) 14.6%
|
| Detail Information |
| Relationship Start Date |
06/09/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
63323-0090-40
SODIUM CHLORIDE (PF) 14.6%
|
| Detail Information |
| Relationship Start Date |
06/09/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
63323-0093-30
SODIUM CHLORIDE CONCENTRATE (25X30ML;USP;SD) 23.4%
|
| Detail Information |
| Relationship Start Date |
06/09/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
63323-0095-61
SODIUM CHLORIDE CONCENTRATE (PF) 23.4%
|
| Detail Information |
| Relationship Start Date |
05/11/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
63323-0099-63
SODIUM CHLORIDE CONCENTRATE (MAXIVIAL,PF,LATEX-FREE) 23.4%
|
| Detail Information |
| Relationship Start Date |
07/28/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
63323-0530-75
SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 3%
|
| Detail Information |
| Relationship Start Date |
01/10/2020 |
| 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 |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
76204-0021-60
Sodium Chloride 60X4ML, USP 7%
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
76204-0022-60
Sodium Chloride 60X4ML, USP 3%
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
83490-0207-60
HyperSal W/PARI LC+ REUSE NEB 7%
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
83490-0235-60
HyperSal 60X4ML,PARI LC PLUS NEB 3.5%
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7131
HYPERTONIC SALINE SOLUTION, 1 ML
|
⇄
|
83490-0307-60
Sodium Chloride 7%
|
| Detail Information |
| Relationship Start Date |
11/01/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|