| Source NDC Code |
|
Target HCPCS Code |
00338-9787-04
GLUCOSE 50%-WATER 3,000 ML
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
11/25/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00338-9787-04
GLUCOSE 50% VIAFLEX 50%
|
⇄
|
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME
|
| 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 |
|
|
|