| Source HCPCS Code |
|
Target NDC Code |
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00264-7612-00
Dextrose-NaCl 5-0.45 % SOLN
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00264-7612-10
Dextrose-NaCl 5-0.45 % SOLN
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00338-0085-03
Dextrose-NaCl 5-0.45 % SOLN
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00338-0085-04
Dextrose-NaCl 5-0.45 % SOLN
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00409-7926-03
Dextrose-NaCl 5-0.45 % SOLN
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
04/01/2021 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00409-7926-09
Dextrose-NaCl 5-0.45 % SOLN
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
08/01/2021 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00990-7926-02
DEXTROSE 5%-0.45% NACL IV S
|
| Detail Information |
| Relationship Start Date |
07/12/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00990-7926-03
DEXTROSE 5%-0.45% NACL IV S
|
| Detail Information |
| Relationship Start Date |
07/12/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
00990-7926-09
DEXTROSE 5%-0.45% NACL IV S
|
| Detail Information |
| Relationship Start Date |
07/12/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
63323-0869-10
DEXTROSE 5%-0.45% NACL IV S
|
| Detail Information |
| Relationship Start Date |
05/17/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
63323-0869-74
DEXTROSE 5%-0.45% NACL IV S
|
| Detail Information |
| Relationship Start Date |
05/17/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S5010
5% dextrose and 0.45% normal saline, 1000 ml
|
⇄
|
63323-0869-75
DEXTROSE 5%-0.45% NACL IV S
|
| Detail Information |
| Relationship Start Date |
05/17/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|