| Source HCPCS Code |
|
Target NDC Code |
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00031-7890-06
ROBINUL (VIAL) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/12/2004 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00031-7890-11
ROBINUL (VIAL) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/12/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00031-7890-83
ROBINUL (VIAL) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/12/2004 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00031-7890-95
ROBINUL (VIAL) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/12/2004 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00223-7722-05
GLYCOPYRROLATE (VIAL) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00223-7723-20
GLYCOPYRROLATE (VIAL) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00517-4601-25
GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00517-4602-25
GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00517-4605-25
GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00517-4620-25
GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00781-3825-96
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00781-3827-96
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00781-3829-96
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
00781-3831-95
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
10019-0016-02
GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
9/28/2005 |
| Relationship End Date |
10/9/2012 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
10019-0016-17
GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/9/2012 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
10019-0016-29
GLYCOPYRROLATE (MDV) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/5/2007 |
| Relationship End Date |
4/30/2014 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
10019-0016-54
GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/24/2012 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
10019-0016-63
GLYCOPYRROLATE (M.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/14/2006 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
10019-0016-81
GLYCOPYRROLATE (S.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/6/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16714-0536-25
GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/17/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16714-0620-25
GLYCOPYRROLATE (25X2ML;USP;SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/17/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16714-0906-25
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/18/2019 |
| Relationship End Date |
07/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16714-0998-25
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/18/2019 |
| Relationship End Date |
01/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16729-0471-08
GLYCOPYRROLATE (25X1ML;SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16729-0472-08
GLYCOPYRROLATE (25X2ML;SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16729-0473-03
GLYCOPYRROLATE (10X5ML;MDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16729-0474-03
GLYCOPYRROLATE (10X20ML;MDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
16729-0474-05
GLYCOPYRROLATE (LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
38779-2087-03
GLYCOPYRROLATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
05/02/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
38779-2087-06
GLYCOPYRROLATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
05/02/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
43547-0543-25
GLYCOPYRROLATE (1X25 SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/09/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
43547-0544-25
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/09/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
43547-0639-25
GLYCOPYRROLATE NOVAPLUS (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/20/2021 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
43547-0640-25
GLYCOPYRROLATE NOVAPLUS (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/20/2021 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
49452-3358-01
GLYCOPYRROLATE (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 |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
49452-3358-02
GLYCOPYRROLATE (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 |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
51552-0042-01
GLYCOPYRROLATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| 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 |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
51754-6000-04
GLYRX-PF (SDV,PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/10/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
51754-6001-04
GLYRX-PF (SDV,PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/10/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
51754-6013-03
GLYRX-PF (PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
51754-6015-03
GLYRX-PF (PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2021 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
51927-1575-00
GLYCOPYRROLATE (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 |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
54569-3519-00
ROBINUL (MDV) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/1/2006 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
54868-3231-01
ROBINUL (VIAL) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
55150-0292-01
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/08/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
55150-0293-02
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/08/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
55150-0294-05
GLYCOPYRROLATE (MDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/08/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
55150-0295-20
GLYCOPYRROLATE (MDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/08/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6179-00
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6179-05
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6180-00
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6180-05
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6181-00
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6181-05
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6182-00
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60505-6182-04
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/19/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-01
ROBINUL (S.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/13/2004 |
| Relationship End Date |
10/18/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-02
ROBINUL (S.D.V) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/13/2004 |
| Relationship End Date |
10/18/2012 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-03
ROBINUL (M.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/13/2004 |
| Relationship End Date |
7/24/2012 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-04
ROBINUL 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
7/19/2004 |
| Relationship End Date |
3/1/2006 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-05
ROBINUL (M.D.V.) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/13/2004 |
| Relationship End Date |
2/22/2006 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-06
ROBINUL (10X20ML,MDV) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
3/2/2006 |
| Relationship End Date |
7/24/2012 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-17
ROBINUL 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/5/2007 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-54
ROBINUL 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/5/2007 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-63
ROBINUL (MDV) 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/5/2007 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
60977-0155-81
ROBINUL 0.2 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/5/2007 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63323-0578-01
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/15/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63323-0578-02
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/15/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63323-0578-05
GLYCOPYRROLATE (MDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/15/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63323-0578-11
PREMIERPRO RX GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/31/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63323-0578-12
PREMIERPRO RX GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/31/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63323-0578-20
GLYCOPYRROLATE (MDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/15/2018 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63402-0201-00
LONHALA MAGNAIR (STARTER KIT) 25 MCG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/16/2018 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
63402-0301-01
LONHALA MAGNAIR (REFILL KIT) 25 MCG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/16/2018 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
66794-0202-42
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
66794-0203-42
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
66794-0204-42
GLYCOPYRROLATE (MDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
66794-0205-41
GLYCOPYRROLATE (MDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/15/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
68001-0351-60
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/15/2018 |
| Relationship End Date |
08/23/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
68001-0352-71
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/15/2018 |
| Relationship End Date |
08/23/2021 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
68001-0353-72
GLYCOPYRROLATE (SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/15/2018 |
| Relationship End Date |
08/23/2021 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
70069-0616-10
GLYCOPYRROLATE (10X20ML MDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/19/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
70121-1698-07
GLYCOPYRROLATE (SD,PF,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/16/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
70121-1699-07
GLYCOPYRROLATE (SD,PF,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/16/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
70700-0167-25
GLYCOPYRROLATE (MDV,GLUTEN-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/07/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
70700-0902-25
GLYCOPYRROLATE NOVAPLUS (25X5ML;MDV;USP) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/05/2021 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
70700-0903-23
GLYCOPYRROLATE NOVAPLUS (10X20ML;MDV;USP) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/05/2021 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0407-03
GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/15/2019 |
| Relationship End Date |
06/21/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0407-04
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/15/2019 |
| Relationship End Date |
07/10/2022 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0408-06
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/15/2019 |
| Relationship End Date |
07/10/2022 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0408-21
GLYCOPYRROLATE (MDV, UPS,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/15/2019 |
| Relationship End Date |
05/01/2022 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0414-03
GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/22/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0414-04
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/11/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0414-92
HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/24/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0414-94
HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/24/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0415-06
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/11/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0415-21
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/02/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71288-0415-96
HEALTHTRUST GLYCOPYRROLATE (MDV,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/04/2023 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71839-0123-25
GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/04/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71839-0124-25
GLYCOPYRROLATE (25X2ML;USP;SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/04/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
71839-0125-25
GLYCOPYRROLATE (25X5ML;USP;SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/04/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
72572-0225-25
GLYCOPYRROLATE 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/08/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
72572-0226-25
GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/17/2020 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
76045-0023-30
SIMPLIST GLYCOPYRROLATE (PF,LATEX-FREE) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/29/2022 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
76045-0203-10
SIMPLIST GLYCOPYRROLATE (PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/04/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
76045-0203-20
SIMPLIST GLYCOPYRROLATE (PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/04/2019 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
|
⇄
|
76045-0206-10
SIMPLIST GLYCOPYRROLATE (24X1ML;RFID,PF) 0.2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/23/2021 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|