| Source HCPCS Code |
|
Target NDC Code |
J3535
Drug administered through a metered dose inhaler
|
⇄
|
00054-0328-56
FLUTICASONE-SALMETEROL 500-50
|
| Detail Information |
| Relationship Start Date |
01/22/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
00093-7516-31
FLUTICASONE-SALMETEROL 500-
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
00093-7517-31
FLUTICASONE-SALMETEROL 100-
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
00093-7518-31
FLUTICASONE-SALMETEROL 250-
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
00173-0682-20
VENTOLIN HFA 90 MCG INHALER
|
| Detail Information |
| Relationship Start Date |
07/01/2002 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
18 |
| Ndc Package Measure |
GR |
| Ndc Package Type |
CANISTER |
| Route Of Administration |
IH |
| Billing Units |
GM |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
00173-0682-24
VENTOLIN HFA 90 MCG INHALER
|
| Detail Information |
| Relationship Start Date |
07/01/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
GR |
| Ndc Package Type |
CANISTER |
| Route Of Administration |
IH |
| Billing Units |
GM |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
17270-0740-00
ALBUTEROL HFA 90 MCG INHALER
|
| Detail Information |
| Relationship Start Date |
02/21/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
8.5 |
| Ndc Package Measure |
GR |
| Ndc Package Type |
CANISTER |
| Route Of Administration |
IH |
| Billing Units |
GM |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
49502-0346-11
TOBI PODHALER 28 MG INHALE
|
| Detail Information |
| Relationship Start Date |
05/16/2016 |
| Relationship End Date |
05/31/2023 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
CAP |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
49502-0346-24
TOBI PODHALER 28 MG INHALE
|
| Detail Information |
| Relationship Start Date |
05/16/2016 |
| Relationship End Date |
05/31/2023 |
| Number Of Items In Ndc Package |
56 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
IH |
| Billing Units |
CAP |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
49502-0346-56
TOBI PODHALER 28 MG INHALE
|
| Detail Information |
| Relationship Start Date |
05/16/2016 |
| Relationship End Date |
05/31/2023 |
| Number Of Items In Ndc Package |
56 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOX |
| Route Of Administration |
IH |
| Billing Units |
CAP |
|
|
|
J3535
DRUG ADMINISTERED THROUGH A METERED DOSE INHALER
|
⇄
|
54868-5511-00
IPRATROPIUM BROMIDE (0.017 MG/ACTUATION)
|
| Detail Information |
| Relationship Start Date |
10/21/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
12.9 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
GM |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
59310-0579-22
PROAIR HFA 90 MCG INHALER
|
| Detail Information |
| Relationship Start Date |
12/27/2004 |
| Relationship End Date |
06/21/2024 |
| Number Of Items In Ndc Package |
8.5 |
| Ndc Package Measure |
GR |
| Ndc Package Type |
CANISTER |
| Route Of Administration |
IH |
| Billing Units |
GM |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
66993-0166-97
FLUTICASONE ELLIPTA 50 MCG INH
|
| Detail Information |
| Relationship Start Date |
06/26/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
66993-0167-97
FLUTICASONE ELLIPTA 100 MCG INH
|
| Detail Information |
| Relationship Start Date |
01/12/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
Drug administered through a metered dose inhaler
|
⇄
|
66993-0168-97
FLUTICASONE ELLIPTA 200 MCG INH
|
| Detail Information |
| Relationship Start Date |
01/12/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
DRUG ADMINISTERED THROUGH A METERED DOSE INHALER
|
⇄
|
66993-0790-97
FLUTICASONE PROP 50 MCG DISKUS
|
| Detail Information |
| Relationship Start Date |
06/11/2007 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
DRUG ADMINISTERED THROUGH A METERED DOSE INHALER
|
⇄
|
66993-0791-97
FLUTICASONE PROP 100 MCG DISKUS
|
| Detail Information |
| Relationship Start Date |
12/12/2008 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
J3535
DRUG ADMINISTERED THROUGH A METERED DOSE INHALER
|
⇄
|
66993-0792-97
FLUTICASONE PROP 250 MCG DISK
|
| Detail Information |
| Relationship Start Date |
12/12/2008 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|