| Source NDC Code |
|
Target HCPCS Code |
00591-3467-53
ALBUTEROL SULFATE (25X3ML,PF) 0.021%
|
⇄
|
J7603
ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
3/31/2008 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
00591-3467-53
ALBUTEROL SULFATE (25X3ML,PF) 0.021%
|
⇄
|
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2008 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
00591-3467-53
Albuterol Sulfate
|
⇄
|
J7613
Albuterol non-comp unit
|
| 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 |
|
|
|
|