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J7643 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J7643

Glycopyrrolate comp unit

BETOS: D1G

Effective: 2007-01-01

Referenced in 2 policies

Description

Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

Drug Products

FDA-registered drug products mapped to this HCPCS code

Glycopyrrolate.2

Glycopyrrolate

NDC: 00517-4601-25INJECTION, SOLUTIONIJ

American Regent, Inc.

Billing: ML

Glycopyrrolate.2

Glycopyrrolate

NDC: 00517-4602-25INJECTION, SOLUTIONIJ

American Regent, Inc.

Billing: ML

Glycopyrrolate.2

Glycopyrrolate

NDC: 00517-4605-25INJECTION, SOLUTIONIJ

American Regent, Inc.

Billing: ML

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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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