| Feature |
HC04 FREE |
| Crosswalk ID: Internal unique ID assigned by CDH. |
X |
| NDC Code: Each listed drug product listed is assigned a unique 10-digit, 3-segment
number. This number, known as the NDC, identifies the labeler,
product, and trade package size. See later section for details
outlined by NDC. |
X |
| NDC Modified Code: Modified NDC Code. |
X |
| HCPCS Code: Code as assigned by HCPCS. |
X |
| HCPCS Modified Code: Modified HCPCS Code. |
X |
| Rel Start Date: Start Date. |
X |
| Rel End Date: End Date. |
X |
| HCPCS Description: Contains all text of procedure or modifier descriptions. |
X |
| NDC Description: Descriptive text of NDC code. |
X |
| NDC Pack Size Quantity: The unit or number of units which make up a package size. |
X |
| NDC Pack Size UOM: Identifies the Unit of Measure for the package size. |
X |
| NDC Pack Type Quantity: The unit or number of units which make up a package type. |
X |
| NDC Pack Type UOM: Identifies the Unit of Measure for the package type. |
X |
| NDC Amount 1: NDC Amount 1. |
X |
| NDC Amount 1 UOM: NDC Amount 1 UOM. |
X |
| NDC Amount 2: NDC Amount 2. |
X |
| NDC Amount 2 UOM: NDC Amount 2 UOM. |
X |
| NDC Per Amount: NDC Per Amount. |
X |
| NDC Per Amount UOM: NDC Per Amount UOM. |
X |
| Routes of Administration: Routes of administration applicable for the drug. If multiple routes,
concatenated and delimited by “;”. |
X |
| Billable Units Pack: Numeric Code Billable Unit Pack. |
X |
| Billable UOM: Numeric Code Billable Unit Pack UOM. |
X |
| Med Form: Medical Form. |
X |
| Manufactuer Rebate: Manufactuer Rebate. |
X |
| Rebate Start Date: Start Date of Rebate period. |
X |
| Rebate End Date: End Date of Rebate period. |
X |
| HCPCS Amount 1: HCPCS Amount 1. |
X |
| HCPCS Amount 1 UOM: HCPCS Amount 1 UOM. |
X |
| HCPCS Amount 2: HCPCS Amount 2. |
X |
| HCPCS Amount 2 UOM: HCPCS Amount 2 UOM. |
X |
| HCPCS Amount 3: HCPCS Amount 3. |
X |
| HCPCS Amount 3 UOM: HCPCS Amount 3 UOM. |
X |
| Conversion Factor: Factor used in HCPCS to NDC Conversion. |
X |
| Comments: Comments entered by CDH. |
X |
| Automated Notification: Automated Notification of Changes. |
|
| Free Email Support. |
X |
| Free Telephone Support. |
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