| Source NDC Code |
|
Target HCPCS Code |
63323-0824-74
DEXTROSE 10%-WATER IV SOLUT
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
11/14/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
63323-0824-74
DEXTROSE (FREEFLEX,LATEX-FREE) 10%
|
⇄
|
J7799
NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME
|
| Detail Information |
| Relationship Start Date |
10/11/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|