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    HCPCS Details

    HCPC J7614
    Short Description Levalbuterol non-comp unit
    Long Description Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 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
    00093414656 J7614 Levalbuterol non-comp unit LEVALBUTEROL TEVA PHARMACEUTICALS USA, INC. 0.5 MG 3 30 1.25 37.5
    00093414856 J7614 Levalbuterol non-comp unit LEVALBUTEROL TEVA PHARMACEUTICALS USA, INC. 0.5 MG 3 30 2.5 75
    00115993078 J7614 Levalbuterol non-comp unit LEVALBUTEROL IMPAX LABORATORIES, LLC 0.5 MG 3 25 0.62 15.5
    00115993178 J7614 Levalbuterol non-comp unit LEVALBUTEROL IMPAX LABORATORIES, LLC 0.5 MG 3 25 1.25 31.25
    00115993278 J7614 Levalbuterol non-comp unit LEVALBUTEROL IMPAX LABORATORIES, LLC 0.5 MG 3 25 2.5 62.5
    00378969052 J7614 Levalbuterol non-comp unit LEVALBUTEROL MYLAN PHARMACEUTICALS, INC 0.5 MG 3 25 0.62 15.5
    00378969152 J7614 Levalbuterol non-comp unit LEVALBUTEROL MYLAN PHARMACEUTICALS, INC 0.5 MG 3 25 1.25 31.25
    00378969252 J7614 Levalbuterol non-comp unit LEVALBUTEROL MYLAN PHARMACEUTICALS, INC 0.5 MG 3 25 2.5 62.5
    16714009425 J7614 Levalbuterol non-comp unit Levalbuterol NORTHSTAR RX LLC 0.5 MG 3 25 0.62 15.5
    16714009430 J7614 Levalbuterol non-comp unit Levalbuterol NORTHSTAR RX LLC 0.5 MG 3 30 0.62 18.6
    16714009525 J7614 Levalbuterol non-comp unit Levalbuterol NORTHSTAR RX LLC 0.5 MG 3 25 1.25 31.25
    16714009625 J7614 Levalbuterol non-comp unit Levalbuterol NORTHSTAR RX LLC 0.5 MG 3 25 2.5 62.5
    35573044325 J7614 Levalbuterol non-comp unit LEVALBUTEROL HYDROCHLORIDE BUREL PHARMACEUTICALS 0.5 MG 3 25 0.62 15.5
    35573044425 J7614 Levalbuterol non-comp unit LEVALBUTEROL HYDROCHLORIDE BUREL PHARMACEUTICALS 0.5 MG 3 25 1.25 31.25
    35573044525 J7614 Levalbuterol non-comp unit LEVALBUTEROL HYDROCHLORIDE BUREL PHARMACEUTICALS 0.5 MG 3 25 2.5 62.5
    50090637700 J7614 Levalbuterol non-comp unit Levalbuterol A-S MEDICATION SOLUTIONS LLC 0.5 MG 3 25 1.25 32.25
    50090656000 J7614 Levalbuterol non-comp unit Albuterol Sulfate A-S MEDICATION SOLUTIONS LLC 1 MG 3 25 2.5 62.5
    50090656001 J7614 Levalbuterol non-comp unit Albuterol Sulfate A-S MEDICATION SOLUTIONS LLC 1 MG 3 75 2.5 187.5
    66993002227 J7614 Levalbuterol non-comp unit LEVALBUTEROL PRASCO LABORATORIES 0.5 MG 3 24 1.25 30
    66993002327 J7614 Levalbuterol non-comp unit LEVALBUTEROL PRASCO LABORATORIES 0.5 MG 3 24 2.5 60
    76204070001 J7614 Levalbuterol non-comp unit LEVALBUTEROL RITEDOSE PHARMACEUTICALS 0.5 MG 3 30 0.62 18.6
    76204070025 J7614 Levalbuterol non-comp unit LEVALBUTEROL RITEDOSE PHARMACEUTICALS 0.5 MG 3 25 0.62 15.5
    76204080001 J7614 Levalbuterol non-comp unit LEVALBUTEROL RITEDOSE PHARMACEUTICALS 0.5 MG 3 30 1.25 37.5
    76204080025 J7614 Levalbuterol non-comp unit LEVALBUTEROL RITEDOSE PHARMACEUTICALS 0.5 MG 3 25 1.25 31.25
    76204090001 J7614 Levalbuterol non-comp unit LEVALBUTEROL RITEDOSE PHARMACEUTICALS 0.5 MG 3 30 2.5 75
    76204090025 J7614 Levalbuterol non-comp unit LEVALBUTEROL RITEDOSE PHARMACEUTICALS 0.5 MG 3 25 2.5 62.5
    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].