| Source NDC Code |
|
Target HCPCS Code |
00074-7139-36
WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)
|
⇄
|
A4217
STERILE WATER/SALINE, 500 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2004 |
| Relationship End Date |
5/3/2005 |
| Number Of Items In Ndc Package |
1500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
00074-7139-36
WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)
|
⇄
|
A4319
STERILE WATER IRRIGATION SOLUTION, 1000 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2003 |
| Number Of Items In Ndc Package |
1500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IR |
| Billing Units |
ML |
|
|
|
00074-7139-36
|
⇄
|
J7051
|
| 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 |
|
|
|
|