| Source NDC Code |
|
Target HCPCS Code |
00990-7922-25
DEXTROSE (24X250ML;USP,LATEX-FREE) 5%
|
⇄
|
J7060
5% DEXTROSE/WATER (500 ML = 1 UNIT)
|
| Detail Information |
| Relationship Start Date |
06/09/2020 |
| Relationship End Date |
04/01/2022 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00990-7922-25
DEXTROSE 5%-WATER IV SOLN
|
⇄
|
J7070
Infusion, d5w, 1000 cc
|
| Detail Information |
| Relationship Start Date |
07/12/2018 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00990-7922-25
Dextrose
|
⇄
|
J7060
5% dextrose/water
|
| 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 |
|
|
|
|
00990-7922-25
Dextrose
|
⇄
|
J7070
D5w infusion
|
| 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 |
|
|
|
|