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HCPCS Details
HCPC | J7612 |
Short Description | Levalbuterol non-comp con |
Long Description | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
Pricing indicator | 00 |
Coverage code | D |
ASC payment group code | |
BETOS2 code | D1G |
Action code | N |
Type of service | 1 |
Effective date | 2009-07-01 |
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 |
---|---|---|---|---|---|---|---|---|---|
00093414756 | J7612 | Levalbuterol non-comp con | LEVALBUTEROL | TEVA PHARMACEUTICALS USA, INC. | 0.5 MG | 0.5 | 30 | 2.5 | 75 |
00378699393 | J7612 | Levalbuterol non-comp con | Levalbuterol Inhalation Solution Concentrated | MYLAN PHARMACEUTICALS, INC | 0.5 MG | 0.5 | 30 | 2.5 | 75 |
35573044325 | J7612 | Levalbuterol non-comp con | LEVALBUTEROL | BUREL PHARMACEUTICALS | 0.5 MG | 3 | 25 | 0.62 | 15.5 |
35573044425 | J7612 | Levalbuterol non-comp con | LEVALBUTEROL | BUREL PHARMACEUTICALS | 0.5 MG | 3 | 25 | 1.25 | 31.25 |
35573044525 | J7612 | Levalbuterol non-comp con | LEVALBUTEROL | BUREL PHARMACEUTICALS | 0.5 MG | 3 | 25 | 2.5 | 62.5 |