| Source NDC Code |
|
Target HCPCS Code |
00990-8004-15
DEXTROSE 30%-WATER IV SOLN
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
07/12/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00990-8004-15
DEXTROSE (LATEX-FREE) 30%
|
⇄
|
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME
|
| Detail Information |
| Relationship Start Date |
09/07/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|