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    HCPCS Details

    HCPC J3246
    Short Description Tirofiban hcl
    Long Description Injection, tirofiban hcl, 0.25 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code YY
    BETOS2 code O1E
    Action code P
    Type of service 1
    Effective date 2024-01-01
    Date Added 2005-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    25208000104 J3246 Tirofiban hcl Aggrastat MEDICURE PHARMA INC. 0.25 MG 15 1 15 15
    25208000201 J3246 Tirofiban hcl Aggrastat MEDICURE PHARMA INC. 0.25 MG 100 1 20 20
    25208000202 J3246 Tirofiban hcl Aggrastat MEDICURE PHARMA INC. 0.25 MG 250 1 50 50
    25208000203 J3246 Tirofiban hcl Aggrastat MEDICURE PHARMA INC. 0.25 MG 100 1 20 20
    55150042901 J3246 Tirofiban hcl Tirofiban EUGIA US LLC 0.25 MG 100 1 20 20
    55150043001 J3246 Tirofiban hcl Tirofiban EUGIA US LLC 0.25 MG 250 1 50 50
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].