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J7640 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J7640

Formoterol comp unit

BETOS: D1G

Effective: 2007-01-01

Referenced in 2 policies

Description

Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms

Drug Products

FDA-registered drug products mapped to this HCPCS code

FORMOTEROL FUMARATE (DIHYDRATE)

NDC: 51927-3643-00

Billing: GM

FORMOTEROL FUMARATE

NDC: 62991-2516-01

Billing: GM

FORMOTEROL FUMARATE

NDC: 62991-2516-03

Billing: GM

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

This code is referenced in 2 Medicare coverage policies

Sample Policies

L33370LCDcovered

Nebulizers

L40269LCDcovered

Nebulizers

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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