| Source HCPCS Code |
|
Target NDC Code |
P9048
|
⇄
|
00026-0613-20
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
P9048
|
⇄
|
00026-0613-25
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
P9048
|
⇄
|
00026-0613-27
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
P9048
|
⇄
|
00053-7753-01
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
P9048
|
⇄
|
00053-7753-02
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
P9048
|
⇄
|
00053-7753-03
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
P9048
PLASMA PROTEIN FRACT, 5%, 250 ML
|
⇄
|
13533-0613-20
PLASMANATE 5% IV SOLUTION
|
| Detail Information |
| Relationship Start Date |
07/15/2018 |
| Relationship End Date |
07/16/2018 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
P9048
PLASMA PROTEIN FRACT, 5%, 250 ML
|
⇄
|
13533-0613-21
PLASMANATE 5% IV SOLUTION
|
| Detail Information |
| Relationship Start Date |
07/15/2018 |
| Relationship End Date |
07/16/2018 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
P9048
PLASMA PROTEIN FRACT, 5%, 250 ML
|
⇄
|
13533-0613-25
PLASMANATE 5% IV SOLUTION
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
09/06/2020 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
P9048
PLASMA PROTEIN FRACT, 5%, 250 ML
|
⇄
|
13533-0613-26
PLASMANATE 5% IV SOLUTION
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
09/06/2020 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|