| Source NDC Code |
|
Target HCPCS Code |
00990-7715-03
MANNITOL 20%
|
⇄
|
J2151
INJECTION, MANNITOL, 250 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00990-7715-03
MANNITOL (LATEX-FREE) 20%
|
⇄
|
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME
|
| Detail Information |
| Relationship Start Date |
12/19/2019 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00990-7715-03
Mannitol
|
⇄
|
J2151
Inj, mannitol, 250 mg
|
| 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 |
|
|
|
|