| Source NDC Code |
|
Target HCPCS Code |
69097-0173-53
IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30X3ML 5 VIALS/POUCH) 3MG/3ML-0.5MG/3ML
|
⇄
|
J7620
ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME
|
| Detail Information |
| Relationship Start Date |
07/01/2015 |
| 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 |
|
|
|
69097-0173-53
Albuterol ipratropium
|
⇄
|
J7620
Albuterol ipratrop non-comp
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
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| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
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| Route Of Administration |
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| Billing Units |
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