HCPCS to NDC

HCPCS Code “j7799” To NDC Mapping Options

“j7799” To NDC Crosswalk(s)

Source HCPCS Code Target NDC Code
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00053-7596-03
VIVAGLOBIN (PF) 160 MG/ML
Detail Information
Relationship Start Date 3/1/2006
Relationship End Date 12/31/2006
Number Of Items In Ndc Package 3
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00053-7596-10
VIVAGLOBIN (PF) 160 MG/ML
Detail Information
Relationship Start Date 3/1/2006
Relationship End Date 12/31/2006
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00053-7596-15
VIVAGLOBIN (PF) 160 MG/ML
Detail Information
Relationship Start Date 3/1/2006
Relationship End Date 12/31/2006
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00053-7596-20
VIVAGLOBIN (PF) 160 MG/ML
Detail Information
Relationship Start Date 3/1/2006
Relationship End Date 12/31/2006
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00053-7596-25
VIVAGLOBIN (PF) 160 MG/ML
Detail Information
Relationship Start Date 3/1/2006
Relationship End Date 12/31/2006
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1130-02
SODIUM CHLORIDE 23.4%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/12/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1141-01
SODIUM CHLORIDE (VIAL, FLIPTOP, BULK PKG) 23.4%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 10/24/2003
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1141-02
SODIUM CHLORIDE (VIAL, FLIPTOP, BULK PKG) 23.4%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/12/2005
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1202-03
DEXTROSE (AMP,LATEX-FREE) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/7/2002
Number Of Items In Ndc Package 3
Ndc Package Measure ML
Ndc Package Type AM
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1489-01
DEXTROSE (VIAL,100 ML PRESS. PNTP) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/19/2003
Number Of Items In Ndc Package 70
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1508-05
DEXTROSE (6X1000ML) 2.5%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/30/2005
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1518-05
DEXTROSE (LATEX-FREE) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/18/2004
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1519-05
DEXTROSE (LATEX-FREE) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/18/2004
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1534-05
DEXTROSE/SODIUM CHLORIDE (6X1000ML) 10%-0.9%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/23/2006
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1535-03
DEXTROSE (12X500ML) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/7/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1536-03
DEXTROSE (LATEX-FREE) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/18/2004
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1586-03
SODIUM CHLORIDE (12X500ML) 5%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/23/2006
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-1775-10
DEXTROSE (10X10ML,ANSYR) 25%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-3012-07
DUOPA 4.63 MG/ML-20 MG/ML
Detail Information
Relationship Start Date 2/3/2015
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type BX
Route Of Administration NA
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-4089-02
DEXTROSE (AMP,LATEX-FREE) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/17/2005
Number Of Items In Ndc Package 5
Ndc Package Measure ML
Ndc Package Type AM
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-4219-02
SODIUM CHLORIDE (BULK ADDITIVE SOLUTION) 2.5%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/29/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-4862-02
DEXTROSE/SODIUM CHLORIDE 10%-0.225%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/8/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-4862-03
DEXTROSE/SODIUM CHLORIDE 10%-0.225%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/3/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-4902-34
DEXTROSE (LIFESHIELD, 18GX1-1/2) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-5641-25
DEXTROSE (1000 ML CONTAINER) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 10/17/2016
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-5642-25
DEXTROSE (1000 ML CONTAINER) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/6/2004
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-5644-25
DEXTROSE (1000 ML CONTAINER) 40%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-5645-25
DEXTROSE (1000 ML CONTAINER) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/18/2004
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-5646-25
DEXTROSE (1000 ML CONTAINER) 60%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/19/2003
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-5647-25
DEXTROSE (1000 ML CONTAINER) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/18/2004
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-5823-25
DEXTROSE (VIAL, 1000 ML CONTAINER) 30%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/18/2004
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-6648-02
DEXTROSE (VIAL, FLIPTOP, ADDITIVE) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/28/2005
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-6657-73
SODIUM CHLORIDE (VIAL, FLIPTOP, 50MEQ) 14.6%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 10/13/2005
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-6660-75
SODIUM CHLORIDE (VIAL, FLIPTOP, ADDITIVE) 14.6%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/25/2005
Number Of Items In Ndc Package 40
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7119-07
DEXTROSE (BULK PACKAGE,LATEX-FREE) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/26/2006
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7120-07
DEXTROSE (BULK PACKAGE,LATEX-FREE) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/5/2005
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7132-02
SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/25/2006
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7132-66
SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/11/2005
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7132-67
SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 11/13/2005
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7517-15
DEXTROSE (ANSYR,LATEX-FREE) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/18/2004
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7517-16
DEXTROSE (ANSYR II,LATEX-FREE) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7712-09
MANNITOL (LATEX-FREE) 5%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/18/2005
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7713-09
MANNITOL (LATEX-FREE) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/6/2006
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7714-03
MANNITOL (LATEX-FREE) 15%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/29/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7715-02
MANNITOL (LATEX-FREE) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 11/13/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7715-03
MANNITOL (LATEX-FREE) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/15/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7730-20
SODIUM CHLORIDE (QUAD-PK,48X25ML) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/26/2005
Number Of Items In Ndc Package 25
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7730-36
SODIUM CHLORIDE (80X50ML,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/10/2005
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7730-37
SODIUM CHLORIDE (80X100ML,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/15/2005
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7918-19
DEXTROSE (1000 ML CONTAINER) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/7/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7924-02
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/27/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7924-03
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/27/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7924-09
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 12/20/2005
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7925-02
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.3%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 6/28/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7925-03
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.3%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/15/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7925-09
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.3%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/16/2006
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7926-02
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/29/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7926-03
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 6/6/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7926-09
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/24/2005
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7930-02
DEXTROSE (LIFECARE,LATEX-FREE) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/4/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7930-03
DEXTROSE (LIFECARE,LATEX-FREE) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/11/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7930-09
DEXTROSE (LIFECARE,LATEX-FREE) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/15/2005
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7935-19
DEXTROSE (1000 ML CONTAINER) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/11/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7936-17
DEXTROSE (2000 ML CONTAINER) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/6/2004
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7936-19
DEXTROSE (1000 ML CONTAINER) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 6/23/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7936-29
DEXTROSE (BARCODED,LATEX-FREE) 50%
Detail Information
Relationship Start Date 8/21/2003
Relationship End Date 10/27/2005
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7937-19
DEXTROSE (1000 ML CONTAINER) 40%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/23/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7938-19
DEXTROSE (1000 ML CONTAINER) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/28/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7940-03
DEXTROSE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 2.5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 6/1/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7940-09
DEXTROSE/SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 2.5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 10/8/2004
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7985-02
SODIUM CHLORIDE (LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/5/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7985-03
SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/5/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-7985-09
SODIUM CHLORIDE (LIFECARE,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 11/23/2004
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-8004-15
DEXTROSE (1000 ML CONTAINER) 30%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/31/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00074-8005-15
DEXTROSE (1000 ML CONTAINER) 60%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/16/2005
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1120-00
DEXTROSE (GLASS) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1120-01
DEXTROSE (AIR TUBE,1000 ML) 10%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1120-10
DEXTROSE (GLASS) 10%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1124-01
DEXTROSE (AIR TUBE,1000 ML) 30%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1125-01
DEXTROSE (GLASS,1000 ML) 20%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1125-10
DEXTROSE (AIR TUBE) 20%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1126-01
DEXTROSE (AIR TUBE,1000 ML) 40%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1127-00
DEXTROSE (GLASS) 60%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1127-01
DEXTROSE (AIR TUBE,1000 ML) 60%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1128-00
DEXTROSE (W/STERILE WATER) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1128-10
DEXTROSE (GLASS) 50%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1128-50
DEXTROSE (GLASS) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1129-00
DEXTROSE (GLASS) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1129-01
DEXTROSE (GLASS,1000 ML) 70%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1129-20
DEXTROSE (GLASS) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1129-50
DEXTROSE HYPERTONIC (GLASS W/AIR TUBE) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1178-10
MANNITOL (GLASS CONTAINER) 20%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1200-55
DEXTROSE (GLASS W/SOLID STOPPER) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1201-55
DEXTROSE (GLASS W/SOLID STOPPER) 10%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1207-55
DEXTROSE (GLASS W/SS,1000 ML) 10%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1217-10
DEXTROSE/SODIUM CHLORIDE (GLASS) 5%-0.11%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1222-00
DEXTROSE/SODIUM CHLORIDE (GLASS) 10%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1240-55
DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 30%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 11/30/2014
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1250-55
DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 20%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1251-55
DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 20%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1260-55
DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 40%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1270-50
DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 60%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1270-55
DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 60%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1280-50
DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 12/31/2014
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1280-55
DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/30/2014
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1281-55
DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 50%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1285-55
DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1290-50
DEXTROSE HYPERTONIC (GLASS W/SS,1000 ML) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/31/2014
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1290-55
DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-1292-55
DEXTROSE HYPERTONIC (GLASS W/SOLID STOPPER) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-2171-55
DEXTROSE/SODIUM CHLORIDE (GLASS W/SOLID STOPPER) 5%-0.11%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-2220-55
DEXTROSE/SODIUM CHLORIDE (GLASS W/SOLID STOPPER) 10%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-2303-50
RESECTISOL 5%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 07/31/2020
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IL
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-2303-70
RESECTISOL 5%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 4000
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IL
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-4020-55
SODIUM CHLORIDE (GLASS CONTAINER) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-4021-55
SODIUM CHLORIDE (GLASS CONTAINER) 0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/30/2015
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7520-00
DEXTROSE (EXCEL) 10%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7520-10
DEXTROSE (EXCEL) 10%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7573-00
MANNITOL (EXCEL) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7578-10
MANNITOL (EXCEL) 20%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 09/30/2025
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7578-20
MANNITOL (EXCEL) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7605-00
DEXTROSE/SODIUM CHLORIDE (EXCEL) 2.5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/30/2017
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7605-10
DEXTROSE/SODIUM CHLORIDE (EXCEL) 2.5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/28/2014
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7608-00
DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7608-10
DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%
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 EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7608-20
DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7608-30
DEXTROSE/SODIUM CHLORIDE (EXCEL) 3.3%-0.3%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 150
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7612-00
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7612-10
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7612-20
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7614-00
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.33%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 08/31/2019
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7614-10
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.33%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7614-20
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.33%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7616-00
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.2%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7616-10
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.2%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7616-20
DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.2%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7620-00
DEXTROSE/SODIUM CHLORIDE (EXCEL) 10%-0.9%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7622-00
DEXTROSE/SODIUM CHLORIDE (EXCEL) 10%-0.45%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7623-20
DEXTROSE/SODIUM CHLORIDE (EXCEL) 10%-0.2%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7802-00
SODIUM CHLORIDE (EXCEL) 0.45%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7802-10
SODIUM CHLORIDE (EXCEL) 0.45%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7805-10
SODIUM CHLORIDE (HYPERTONIC,EXCEL) 3%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00264-7806-10
SODIUM CHLORIDE (HYPERTONIC,EXCEL) 5%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0012-04
DEXTROSE 2.5%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type EA
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0023-02
DEXTROSE 10%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0023-03
DEXTROSE 10%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0023-04
DEXTROSE 10%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0023-13
DEXTROSE (VIAFLEX UNDERFILLED) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/30/2008
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0023-34
DEXTROSE (VIAFLEX UNDERFILLED) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0030-03
DEXTROSE (FULL FILL) 20%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0031-06
DEXTROSE (BULK PACKAGE) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0031-13
DEXTROSE (VIAFLEX UNDERFILLED) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/31/2008
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0031-34
DEXTROSE (VIAFLEX UNDERFILLED) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/31/2008
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0036-03
DEXTROSE (GLASS FULL FILL) 50%
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 GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0038-04
DEXTROSE 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0043-03
SODIUM CHLORIDE 0.45%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0043-04
SODIUM CHLORIDE 0.45%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0054-03
SODIUM CHLORIDE 3%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0056-03
SODIUM CHLORIDE 5%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0073-03
DEXTROSE/SODIUM CHLORIDE 2.5%-0.45%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 7/31/2011
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0073-04
DEXTROSE/SODIUM CHLORIDE 2.5%-0.45%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0077-02
DEXTROSE/SODIUM CHLORIDE 5%-0.2%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 12/31/2023
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0077-03
DEXTROSE/SODIUM CHLORIDE 5%-0.2%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 12/31/2022
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0077-04
DEXTROSE/SODIUM CHLORIDE 5%-0.2%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0081-02
DEXTROSE/SODIUM CHLORIDE 5%-0.33%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/30/2007
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0081-03
DEXTROSE/SODIUM CHLORIDE 5%-0.33%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 12/31/2022
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0081-04
DEXTROSE/SODIUM CHLORIDE 5%-0.33%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/30/2007
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0085-02
DEXTROSE/SODIUM CHLORIDE 5%-0.45%
Detail Information
Relationship Start Date 05/01/2022
Relationship End Date 01/31/2025
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0085-03
DEXTROSE/SODIUM CHLORIDE 5%-0.45%
Detail Information
Relationship Start Date 01/01/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0085-04
DEXTROSE/SODIUM CHLORIDE 5%-0.45%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0095-03
DEXTROSE/SODIUM CHLORIDE 10%-0.9%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/30/2002
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0095-04
DEXTROSE/SODIUM CHLORIDE 10%-0.9%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 5/30/2006
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0351-04
OSMITROL (VIAFLEX,AF) 5%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 01/31/2025
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0353-03
OSMITROL (VIAFLEX) 10%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 09/30/2025
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0353-04
OSMITROL (VIAFLEX;12X1000ML) 10%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0355-03
OSMITROL (VIAFLEX,AF) 15%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 12/31/2022
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0357-02
OSMITROL (VIAFLEX) 20%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 09/30/2025
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0357-03
OSMITROL (VIAFLEX) 20%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 09/30/2025
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0640-02
DEXTROSE/SODIUM CHLORIDE 10%-0.2%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0711-13
DEXTROSE (VIAFLEX UNDERFILLED) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 4/30/2008
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0711-34
DEXTROSE (VIAFLEX UNDERFILLED) 20%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/31/2008
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0713-13
DEXTROSE (VIAFLEX UNDERFILLED) 30%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 12/31/2007
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0713-34
DEXTROSE (VIAFLEX UNDERFILLED) 30%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 3/31/2007
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0715-13
DEXTROSE (VIAFLEX UNDERFILLED) 40%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/31/2007
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0715-34
DEXTROSE (VIAFLEX UNDERFILLED) 40%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/30/2007
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0719-06
DEXTROSE (BULK PACKAGE) 70%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0719-13
DEXTROSE (12X500ML,USP) 70%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 10/31/2015
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-0873-02
SODIUM CHLORIDE (BULK PACKAGE) 23.4%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-1452-02
SODIUM CHLORIDE 0.45%
Detail Information
Relationship Start Date 9/22/2003
Relationship End Date 1/31/2005
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-1452-48
SODIUM CHLORIDE 0.45%
Detail Information
Relationship Start Date 9/22/2003
Relationship End Date 12/31/2004
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-9785-04
GLUCOSE 70% 70%
Detail Information
Relationship Start Date 10/18/2024
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 3000
Ndc Package Measure ML
Ndc Package Type
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-9787-04
GLUCOSE 50% VIAFLEX 50%
Detail Information
Relationship Start Date 10/18/2024
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 3000
Ndc Package Measure ML
Ndc Package Type
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00338-9789-04
GLUCOSE 70% 70%
Detail Information
Relationship Start Date 10/18/2024
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 3000
Ndc Package Measure ML
Ndc Package Type
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-1130-02
SODIUM CHLORIDE 23.4%
Detail Information
Relationship Start Date 5/13/2005
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-1141-02
SODIUM CHLORIDE (VIAL,FLIPTOP,BULK PKG) 23.4%
Detail Information
Relationship Start Date 04/13/2005
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-1508-05
DEXTROSE (6X1000ML) 2.5%
Detail Information
Relationship Start Date 8/31/2005
Relationship End Date 5/18/2016
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-1534-05
DEXTROSE AND SODIUM CHLORIDE (6X1000ML) 10%-0.9%
Detail Information
Relationship Start Date 2/24/2006
Relationship End Date 5/18/2016
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-1535-03
DEXTROSE (12X500ML) 20%
Detail Information
Relationship Start Date 09/08/2005
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-1586-03
SODIUM CHLORIDE (12X500ML) 5%
Detail Information
Relationship Start Date 03/24/2006
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-1775-10
DEXTROSE (2.5GM INFANT ANSYR SYR) 25%
Detail Information
Relationship Start Date 02/20/2006
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-4089-02
DEXTROSE (AMP,LATEX-FREE) 10%
Detail Information
Relationship Start Date 5/18/2005
Relationship End Date 6/8/2016
Number Of Items In Ndc Package 5
Ndc Package Measure ML
Ndc Package Type AM
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-4219-02
SODIUM CHLORIDE 2.5%
Detail Information
Relationship Start Date 3/30/2005
Relationship End Date 9/3/2016
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-4862-02
DEXTROSE/SODIUM CHLORIDE 10%-0.225%
Detail Information
Relationship Start Date 3/9/2005
Relationship End Date 5/18/2016
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-4862-03
DEXTROSE/SODIUM CHLORIDE 10%-0.225%
Detail Information
Relationship Start Date 4/4/2005
Relationship End Date 5/18/2016
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-4902-34
DEXTROSE (LIFESHEILD, 18G1-1/2) 50%
Detail Information
Relationship Start Date 12/08/2005
Relationship End Date 05/01/2025
Number Of Items In Ndc Package 1
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-6648-02
DEXTROSE (VIAL,FLIPTOP,ADDITIVE) 50%
Detail Information
Relationship Start Date 03/29/2005
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-6657-73
SODIUM CHLORIDE (FTV,50MEQ,25X20ML) 14.6%
Detail Information
Relationship Start Date 10/14/2005
Relationship End Date
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-6660-75
SODIUM CHLORIDE (25X40ML,LATEX-FREE) 14.6%
Detail Information
Relationship Start Date 07/26/2005
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7119-07
DEXTROSE (2000MLX6) 50%
Detail Information
Relationship Start Date 5/27/2006
Relationship End Date 6/10/2016
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7120-07
DEXTROSE (6X2000ML,LATEX-FREE) 70%
Detail Information
Relationship Start Date 07/06/2005
Relationship End Date 12/19/2019
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7132-02
SODIUM CHLORIDE (USP,ADD-VANTAGE) 0.45%
Detail Information
Relationship Start Date 05/26/2006
Relationship End Date 01/30/2020
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7132-66
SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 09/12/2005
Relationship End Date 10/09/2019
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7132-67
SODIUM CHLORIDE (ADD-VANTAGE,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 11/14/2005
Relationship End Date 10/09/2019
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7517-16
DEXTROSE (ANSYR II,LATEX-FREE) 50%
Detail Information
Relationship Start Date 12/07/2005
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7712-09
MANNITOL (LATEX-FREE) 5%
Detail Information
Relationship Start Date 8/19/2005
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7713-09
MANNITOL (USP,LATEX-FREE) 10%
Detail Information
Relationship Start Date 4/7/2006
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7714-03
MANNITOL (LATEX-FREE) 15%
Detail Information
Relationship Start Date 8/30/2005
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7715-02
MANNITOL (FLEX CONTAINER,24X250ML) 20%
Detail Information
Relationship Start Date 11/14/2005
Relationship End Date 09/08/2020
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7715-03
MANNITOL (FLEX CONTAINER,12X500ML) 20%
Detail Information
Relationship Start Date 09/16/2005
Relationship End Date 12/19/2019
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7730-20
SODIUM CHLORIDE (QUAD-PK,48X25ML) 0.45%
Detail Information
Relationship Start Date 7/27/2005
Relationship End Date
Number Of Items In Ndc Package 25
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7730-36
SODIUM CHLORIDE (80X50ML,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 07/11/2005
Relationship End Date 02/07/2020
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7730-37
SODIUM CHLORIDE (80X100ML,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 09/16/2005
Relationship End Date 05/08/2020
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7918-19
DEXTROSE (12X500ML,LATEX-FREE) 70%
Detail Information
Relationship Start Date 07/08/2005
Relationship End Date 12/04/2019
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7924-02
DEXTROSE/SODIUM CHLORIDE (24X250ML,LATEX-FREE) 5%-0.225%
Detail Information
Relationship Start Date 07/28/2005
Relationship End Date 01/01/2020
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7924-03
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.225%
Detail Information
Relationship Start Date 07/28/2005
Relationship End Date 05/08/2020
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7924-09
DEXTROSE/SODIUM CHLORIDE (LIFECARE, PLASTIC) 5%-0.225%
Detail Information
Relationship Start Date 12/21/2005
Relationship End Date 06/09/2020
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7925-02
DEXTROSE/SODIUM CHLORIDE (LIFECARE, 24X250ML) 5%-0.3%
Detail Information
Relationship Start Date 6/29/2005
Relationship End Date
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7925-03
DEXTROSE/SODIUM CHLORIDE (LIFECARE,PLASTIC) 5%-0.3%
Detail Information
Relationship Start Date 09/16/2005
Relationship End Date 12/20/2019
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7925-09
DEXTROSE/SODIUM CHLORIDE (12X1000ML) 5%-0.3%
Detail Information
Relationship Start Date 03/17/2006
Relationship End Date 05/04/2021
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7926-02
DEXTROSE/SODIUM CHLORIDE (LIFECARE/PLASTIC) 5%-0.45%
Detail Information
Relationship Start Date 08/30/2005
Relationship End Date 01/02/2020
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7926-03
DEXTROSE/SODIUM CHLORIDE (24X500ML,LATEX-FREE) 5%-0.45%
Detail Information
Relationship Start Date 06/07/2005
Relationship End Date 12/18/2020
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7926-09
DEXTROSE/SODIUM CHLORIDE (12X1000ML, LIFECARE) 5%-0.45%
Detail Information
Relationship Start Date 08/25/2005
Relationship End Date 03/06/2020
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7926-30
DEXTROSE/SODIUM CHLORIDE (VISIV CONTAINER) 5%-0.45%
Detail Information
Relationship Start Date 4/14/2006
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7926-48
DEXTROSE/SODIUM CHLORIDE (VISIV CONTAINER) 5%-0.45%
Detail Information
Relationship Start Date 4/14/2006
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7930-02
DEXTROSE (24X250ML,LIFECARE) 10%
Detail Information
Relationship Start Date 07/05/2005
Relationship End Date 08/15/2019
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7930-03
DEXTROSE (LIFECARE,LATEX-FREE) 10%
Detail Information
Relationship Start Date 01/12/2005
Relationship End Date 12/11/2020
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7930-09
DEXTROSE (LIFECARE,LATEX-FREE) 10%
Detail Information
Relationship Start Date 03/16/2005
Relationship End Date 10/16/2020
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7935-19
DEXTROSE (1000ML CONTAINER) 20%
Detail Information
Relationship Start Date 09/12/2005
Relationship End Date 12/01/2020
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7936-19
DEXTROSE (12X500ML,LATEX-FREE) 50%
Detail Information
Relationship Start Date 06/24/2005
Relationship End Date 07/12/2021
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7936-29
DEXTROSE (2000ML BAG,6X1000ML) 50%
Detail Information
Relationship Start Date 10/28/2005
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7937-19
DEXTROSE (12X500ML,LATEX-FREE) 40%
Detail Information
Relationship Start Date 08/24/2005
Relationship End Date 05/04/2021
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7938-19
DEXTROSE (1000ML CONTAINER) 10%
Detail Information
Relationship Start Date 09/29/2005
Relationship End Date 05/04/2021
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7985-02
SODIUM CHLORIDE (24X250ML,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 04/06/2005
Relationship End Date 11/01/2019
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7985-03
SODIUM CHLORIDE (LIFECARE,24X500ML) 0.45%
Detail Information
Relationship Start Date 04/06/2005
Relationship End Date 03/08/2021
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-7985-09
SODIUM CHLORIDE (LIFECARE,12X1000ML) 0.45%
Detail Information
Relationship Start Date 11/24/2004
Relationship End Date 08/24/2020
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00409-8004-15
DEXTROSE (12X500ML,LATEX-FREE) 30%
Detail Information
Relationship Start Date 08/01/2005
Relationship End Date 09/07/2021
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00469-3250-10
MYCAMINE (PF) 50 MG
Detail Information
Relationship Start Date 5/3/2005
Relationship End Date 12/31/2006
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00517-2900-25
SODIUM CHLORIDE CONCENTRATE (BULK PACKAGE) 23.4%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/24/2011
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00517-2930-25
SODIUM CHLORIDE CONCENTRATE (S.D.V.) 23.4%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/28/2013
Number Of Items In Ndc Package 30
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00548-1001-00
DEXTROSE (MIN-I-JET,18GX1 1/2") 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00548-1015-00
DEXTROSE (MIN-I-JET,21GX1 1/2") 25%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 10/1/2007
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00548-2001-00
DEXTROSE (SRN,PREFILLED,STICKGARD) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00548-3301-00
DEXTROSE (SRN,PREFILLED,LUER-JET) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 11/28/2012
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00548-3315-00
DEXTROSE (SRN,PREFILLED,LUER-JET) 25%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2510-02
HYQVIA (PF,LATEX-FREE) 160 U/ML-10%
Detail Information
Relationship Start Date 10/6/2014
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 26.25
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2511-02
HYQVIA (PF,LATEX-FREE) 160 U/ML-10%
Detail Information
Relationship Start Date 10/6/2014
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 52.5
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2512-02
HYQVIA (PF,LATEX-FREE) 160 U/ML-10%
Detail Information
Relationship Start Date 10/6/2014
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 105
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2513-02
HYQVIA (PF,LATEX-FREE) 160 U/ML-10%
Detail Information
Relationship Start Date 10/6/2014
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 210
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2514-02
HYQVIA (PF,LATEX-FREE) 160 U/ML-10%
Detail Information
Relationship Start Date 10/6/2014
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 315
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-01
CUVITRU (1GM,PF,LATEX-FREE) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 5
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-02
CUVITRU (1GM, INNER PACK NDC,PF) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 5
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-03
CUVITRU (2GM,PF,LATEX-FREE) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-04
CUVITRU (2GM, INNER PACK NDC,PF) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-05
CUVITRU (4GM,PF,LATEX-FREE) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-06
CUVITRU (4GM, INNER PACK NDC,PF) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-07
CUVITRU (8GM,PF,LATEX-FREE) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 40
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00944-2850-08
CUVITRU (8GM, INNER PACK NDC,PF) 20%
Detail Information
Relationship Start Date 9/26/2016
Relationship End Date 12/31/2017
Number Of Items In Ndc Package 40
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7120-07
DEXTROSE (LATEX-FREE) 70%
Detail Information
Relationship Start Date 12/19/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 2000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7198-19
DEXTROSE (LATEX-FREE) 70%
Detail Information
Relationship Start Date 12/04/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7715-03
MANNITOL (LATEX-FREE) 20%
Detail Information
Relationship Start Date 12/19/2019
Relationship End Date 09/30/2025
Number Of Items In Ndc Package 500
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7730-36
SODIUM CHLORIDE (80X50ML,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 02/07/2020
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7918-19
DEXTROSE (12X500ML;USP,LATEX-FREE) 70%
Detail Information
Relationship Start Date 12/04/2019
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7924-02
DEXTROSE-SODIUM CHLORIDE (LATEX-FREE) 5%-0.225%
Detail Information
Relationship Start Date 09/30/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7925-03
DEXTROSE/SODIUM CHLORIDE (LATEX-FREE) 5%-0.3%
Detail Information
Relationship Start Date 12/02/2019
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7926-02
DEXTROSE-SODIUM CHLORIDE (24X250ML,LATEX-FREE) 5%-0.45%
Detail Information
Relationship Start Date 12/30/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7926-09
DEXTROSE-SODIUM CHLORIDE (12X1000ML;USP) 5%-0.45%
Detail Information
Relationship Start Date 03/06/2020
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7930-02
DEXTROSE (LATEX-FREE) 10%
Detail Information
Relationship Start Date 08/12/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7930-03
DEXTROSE (24X500ML;USP,LATEX-FREE) 10%
Detail Information
Relationship Start Date 12/11/2020
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7930-09
DEXTROSE (12X1000ML;USP) 10%
Detail Information
Relationship Start Date 10/16/2020
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7935-19
DEXTROSE (PARTIAL FILL) 20%
Detail Information
Relationship Start Date 11/12/2019
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7936-19
DEXTROSE (12X500ML,LATEX-FREE) 50%
Detail Information
Relationship Start Date 07/12/2021
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7985-02
SODIUM CHLORIDE (LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 11/01/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7985-09
SODIUM CHLORIDE (12X1000ML;USP) 0.45%
Detail Information
Relationship Start Date 08/24/2020
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-7985-25
SODIUM CHLORIDE (LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 01/24/2020
Relationship End Date 05/04/2021
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 00990-8004-15
DEXTROSE (LATEX-FREE) 30%
Detail Information
Relationship Start Date 09/07/2021
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 15927-3220-00
EPINEPHRINE (BASE)
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 17317-0417-02
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/1/2014
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 17317-0417-03
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/1/2014
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 17317-0417-05
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/1/2014
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 38779-0247-04
PHENYLEPHRINE HCL (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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 38779-0247-05
PHENYLEPHRINE HCL (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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 38779-0436-04
EPINEPHRINE (U.S.P.)
Detail Information
Relationship Start Date 8/21/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 38779-0436-05
EPINEPHRINE (U.S.P.)
Detail Information
Relationship Start Date 8/21/2002
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 38779-2065-03
EPINEPHRINE HCL
Detail Information
Relationship Start Date 5/2/2002
Relationship End Date
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type NA
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 38779-2065-06
EPINEPHRINE HCL
Detail Information
Relationship Start Date 5/2/2002
Relationship End Date
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type NA
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 44206-0451-01
HIZENTRA (SINGLE-USE VIAL,PF) 20%
Detail Information
Relationship Start Date 4/1/2010
Relationship End Date 12/31/2010
Number Of Items In Ndc Package 5
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 44206-0452-02
HIZENTRA (SINGLE-USE VIAL,PF) 20%
Detail Information
Relationship Start Date 4/1/2010
Relationship End Date 12/31/2010
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 44206-0454-04
HIZENTRA (SINGLE-USE VIAL,PF) 20%
Detail Information
Relationship Start Date 4/1/2010
Relationship End Date 12/31/2010
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration SC
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-0001-01
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 2/5/2002
Relationship End Date 9/30/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-0001-02
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 2/5/2002
Relationship End Date 9/30/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-2740-01
EPINEPHRINE (U.S.P.)
Detail Information
Relationship Start Date 6/1/2015
Relationship End Date 10/17/2016
Number Of Items In Ndc Package 100
Ndc Package Measure GM
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-2745-01
EPINEPHRIN HCL (U.S.P.)
Detail Information
Relationship Start Date 1/25/2002
Relationship End Date 1/1/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-2745-02
EPINEPHRIN HCL (U.S.P.)
Detail Information
Relationship Start Date 1/25/2002
Relationship End Date 1/1/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-5290-01
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 6/1/2015
Relationship End Date 10/17/2016
Number Of Items In Ndc Package 5
Ndc Package Measure GM
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-5290-02
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 6/1/2015
Relationship End Date 10/17/2016
Number Of Items In Ndc Package 25
Ndc Package Measure GM
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 49452-5290-03
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 6/1/2015
Relationship End Date 10/17/2016
Number Of Items In Ndc Package 100
Ndc Package Measure GM
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 50242-0042-01
XOLAIR (PF) 75 MG
Detail Information
Relationship Start Date 10/29/2004
Relationship End Date 10/30/2004
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration SC
Billing Units EA
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51552-0232-02
PHENYLEPHRINE HCL (U.S.P.,N.F.)
Detail Information
Relationship Start Date 09/01/2003
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51552-0232-04
PHENYLEPHRINE HCL (U.S.P.,N.F.)
Detail Information
Relationship Start Date 09/01/2003
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51552-0232-05
PHENYLEPHRINE HCL (U.S.P.,N.F.)
Detail Information
Relationship Start Date 09/01/2003
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51552-0232-25
PHENYLEPHRINE HCL (U.S.P.,N.F.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/31/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type JR
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51552-0232-99
PHENYLEPHRINE HCL (U.S.P.,N.F.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/31/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51552-0526-05
EPINEPHRINE (U.S.P. ,N.F.)
Detail Information
Relationship Start Date 9/1/2003
Relationship End Date 1/1/2015
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51552-0526-99
EPINEPHRINE (U.S.P./N.F.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 8/31/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51927-1225-00
PHENYLEPHRINE HCL (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 JR
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 51927-1715-00
EPINEPHRINE HCL (USP)
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 54569-1991-01
DEXTROSE (SRN) 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/31/2003
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 54868-3089-00
DEXTROSE (10X50ML) 50%
Detail Information
Relationship Start Date 12/11/2006
Relationship End Date
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type SR
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 54868-3089-01
DEXTROSE (1X1250ML) 50%
Detail Information
Relationship Start Date 12/5/2007
Relationship End Date
Number Of Items In Ndc Package 1250
Ndc Package Measure ML
Ndc Package Type GC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 54868-3703-00
DEXTROSE (18GX1-1/2") 50%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/3/2016
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 54868-5727-00
DEXTROSE (12X1000ML) 10%
Detail Information
Relationship Start Date 12/12/2006
Relationship End Date
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 55513-0150-01
BLINCYTO (INNER VIAL NDC,PF) 35 MCG
Detail Information
Relationship Start Date 12/16/2014
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 55513-0160-01
BLINCYTO (W/ SOLN STABALIZER,PF) 35 MCG
Detail Information
Relationship Start Date 12/16/2014
Relationship End Date 12/31/2015
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 62991-1004-03
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 9/15/2003
Relationship End Date 9/30/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 62991-2046-01
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/1/2004
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 62991-2046-02
PHENYLEPHRINE HCL (U.S.P.)
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 9/1/2004
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0088-61
SODIUM CHLORIDE CONCENTRATE (MAXIVIAL,BULK PACK,PF) 23.4%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 05/10/2022
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0088-63
SODIUM CHLORIDE CONCENTRATE (MAXIVIAL,BULK PACK,PF) 23.4%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 07/27/2023
Number Of Items In Ndc Package 200
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0139-20
SODIUM CHLORIDE (S.D.V.) 14.6%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 2/15/2013
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0139-40
SODIUM CHLORIDE (S.D.V.) 14.6%
Detail Information
Relationship Start Date 01/01/2002
Relationship End Date 06/08/2021
Number Of Items In Ndc Package 40
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0187-30
SODIUM CHLORIDE CONCENTRATE (S.D.V.,PF) 23.4%
Detail Information
Relationship Start Date 1/1/2002
Relationship End Date 1/15/2013
Number Of Items In Ndc Package 30
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0626-00
SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 10/02/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 100
Ndc Package Measure ML
Ndc Package Type PC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0626-10
SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 10/02/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0626-25
SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 10/02/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0626-50
SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 10/02/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 50
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0626-55
SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 0.45%
Detail Information
Relationship Start Date 10/02/2019
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0824-74
DEXTROSE (FREEFLEX,LATEX-FREE) 10%
Detail Information
Relationship Start Date 10/11/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0824-75
DEXTROSE (FREEFLEX,LATEX-FREE) 10%
Detail Information
Relationship Start Date 10/11/2019
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
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63323-0824-76
DEXTROSE (FREEFLEX,LATEX-FREE) 10%
Detail Information
Relationship Start Date 10/11/2019
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1000
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63370-0088-07
EPINEPHRINE (U.S.P.)
Detail Information
Relationship Start Date 12/19/2003
Relationship End Date 5/31/2013
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63370-0088-15
EPINEPHRINE (U.S.P.)
Detail Information
Relationship Start Date 12/19/2003
Relationship End Date 5/31/2013
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 63370-0088-25
EPINEPHRINE (U.S.P.)
Detail Information
Relationship Start Date 12/19/2003
Relationship End Date 5/31/2013
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 65219-0230-25
SODIUM CHLORIDE (FREEFLEX+ BAG) 0.45%
Detail Information
Relationship Start Date 06/30/2022
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FC
Route Of Administration IV
Billing Units ML
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME 		⇄ 65219-0232-50
SODIUM CHLORIDE (FREEFLEX+ BAG) 0.45%
Detail Information
Relationship Start Date 06/30/2022
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