| Source NDC Code |
|
Target HCPCS Code |
63323-0873-75
DEXTROSE-SODIUM CHLORIDE (30X250ML;USP,PF) 5%-0.225%
|
⇄
|
A4216
STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
|
| Detail Information |
| Relationship Start Date |
04/27/2021 |
| 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 |
|
|
|
63323-0873-75
DEXTROSE 5%-0.225% NACL IV
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
05/11/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|