| Source NDC Code |
|
Target HCPCS Code |
23490-5020-03
ALBUTEROL SULFATE (30X3ML) 0.083%
|
⇄
|
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 |
|
|
|
23490-5020-03
ALBUTEROL SULFATE (30X3ML) 0.083%
|
⇄
|
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2008 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|