Update to Texas Supplemental NDC File - TMHP.com
Update to Texas Supplemental NDC File - TMHP.com
Update to Texas Supplemental NDC File - TMHP.com
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Procedure Code <strong>NDC</strong>(s)<br />
J2469 62856-0797-01<br />
55513-0478-01, 55513-0823-01, 55513-0148-10<br />
55513-0267-10, 55513-0283-10, 59676-0302-01<br />
59676-0303-01, 59676-0304-01, 59676-0310-01<br />
59676-0312-01, 59676-0320-01, 59676-0340-01<br />
59676-0303-02, 59676-0303-02, 59676-0304-02<br />
59676-0310-02, 59676-0312-04<br />
J7185 58394-0012-01, 58394-0013-01, 58394-0014-01<br />
58394-0015-01<br />
J7304 50458-0192-15<br />
J9263 00703-3985-01, 00703-3986-01, 41616-0176-40<br />
41616-0178-40, 61703-0363-18, 61703-0363-22<br />
63323-0175-30, 63323-0176-50, 63323-0650-10<br />
63323-0650-20<br />
J9355 50242-0056-56<br />
The procedure code/<strong>NDC</strong> pairs in the following table were effective January 15, 2013:<br />
Procedure Code <strong>NDC</strong>(s)<br />
J2405 00641-6078-25<br />
J3010 00641-6027-25<br />
J9999 50242-0145-01<br />
For more information, call the <strong>TMHP</strong> Contact Center at 1-800-925-9126 or the <strong>TMHP</strong>-<br />
CSHCN Services Program Contact Center at 1-800-568-2413.
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