| Source NDC Code |
|
Target HCPCS Code |
00409-7809-22
DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-160 MG/100 ML
|
⇄
|
J1265
INJECTION, DOPAMINE HCL, 40 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00409-7809-22
DEXTROSE/DOPAMINE HCL (LIFECARE,LATEX-FREE) 5%-160 MG/100 ML
|
⇄
|
Q4076
INJECTION, DOPAMINE HCL, 40 MG
|
| Detail Information |
| Relationship Start Date |
4/25/2005 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00409-7809-22
Dopamine
|
⇄
|
J1265
Dopamine injection
|
| 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 |
|
|
|
|