Loading...
| Column | Description |
|---|---|
| NDC Id | Enter the unique 11-digit, 3-segment National Drug Code number. If the number you have is not 11 digits, you must enter the necessary preceding zeros.
|
| CPT4 | Enter the CPT4 code associated with the NDC. You can enter up to nine characters with two modifiers. |
| Eff Date | Enter the date the NDC becomes effective.
|
| Exp Date | Enter the date the NDC ends.
|
| NDC Description | Enter the drug name, vendor, and trade package size. |
| Drug Unit Price | Enter the drug unit price for the applicable CPT4 code. The field is for reference purposes only. The default value is $0.00. |
| Basis of Measure | Select the drug unit of measure. |
| Drug Unit Count | Enter the dosage form, which is based on the second segment of NDC. The second segment indicates a specific strength, dosage form, and formulation. For example, the NDC number 00004-1964-04 indicates a 1 GR vial, so you would enter 1 in the Drug Unit Count field. |
| Medicare_Billing_Code | Enter the alternate Medicare billing code (Q code).
|