| Source HCPCS Code |
|
Target NDC Code |
J7616
ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME
|
⇄
|
49502-0672-30
DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7616
ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME
|
⇄
|
49502-0672-31
DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7616
ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME
|
⇄
|
49502-0672-60
DUONEB (VIAL,U.D.) 3 MG/3 ML-0.5 MG/3 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7616
|
⇄
|
54569-5432-00
|
| 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 |
|
|
|
|
J7616
ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME
|
⇄
|
54868-0948-00
DUONEB 3 MG/3 ML-0.5 MG/3 ML
|
| Detail Information |
| Relationship Start Date |
9/19/2005 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|