| Source NDC Code |
|
Target HCPCS Code |
00409-4031-16
MANNITOL 25% VIAL
|
⇄
|
J2150
Injection, mannitol, 25% in 50 ml
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00409-4031-16
MANNITOL 25% (12.5 GM/50 ML)
|
⇄
|
J2151
Injection, mannitol, 250 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|