| Source NDC Code |
|
Target HCPCS Code |
69097-0173-64
IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (60X3ML 5 VIALS/POUCH) 3 MG/3 ML-0.5 MG/3 ML
|
⇄
|
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 |
VL |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
69097-0173-64
Albuterol ipratropium
|
⇄
|
J7620
Albuterol ipratrop non-comp
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|