DIN/NPN/ PIN | Generic Name | Product Name, Strength & Dosage Form | Unit Price, Unit of Issue | Manufacturer | LCA Price | MAC Price | Interchangeable Products | Coverage Status | |
---|---|---|---|---|---|---|---|---|---|
00990091 | AEROSOL HOLDING CHAMBER | AEROCHAMBER PLUS FLOW-VU W/ MOUTHPIECE DEVICE |
25.3200 DEV |
TMI | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990100 | AEROSOL HOLDING CHAMBER | AEROCHAMBER PLUS FLOW-VU YOUTH W/ MOUTHPIECE DEVICE |
25.3200 DEV |
TMI | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990104 | AEROSOL HOLDING CHAMBER | ANTI-STATIC COMPACT SPACE CHAMBER PLUS MOUTHPIECE DEVICE |
N/A DEV |
MPI | N/A | N/A | NO | NOT A BENEFIT | |
00999399 | AEROSOL HOLDING CHAMBER | OPTICHAMBER DIAMOND (CHAMBER ONLY) DEVICE |
18.0600 DEV |
RNA | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990080 | AEROSOL HOLDING CHAMBER | VORTEX DEVICE |
19.4977 DEV |
KGH | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990110 | AEROSOL HOLDING CHAMBER/MASK | AEROCHAMBER 2 GO ADULT DEVICE |
N/A DEV |
TMI | N/A | N/A | NO | NOT A BENEFIT | |
00990109 | AEROSOL HOLDING CHAMBER/MASK | AEROCHAMBER PLUS FLOW-VU W/ ADULT SMALL MASK ADULT DEVICE |
42.8500 DEV |
TMI | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990094 | AEROSOL HOLDING CHAMBER/MASK | AEROCHAMBER PLUS FLOW-VU W/ LARGE MASK ADULT DEVICE |
42.8500 DEV |
TMI | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990093 | AEROSOL HOLDING CHAMBER/MASK | AEROCHAMBER PLUS FLOW-VU W/ MEDIUM MASK PEDIATRIC DEVICE |
40.5000 DEV |
TMI | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990092 | AEROSOL HOLDING CHAMBER/MASK | AEROCHAMBER PLUS FLOW-VU W/ SMALL MASK INFANT DEVICE |
40.5000 DEV |
TMI | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990107 | AEROSOL HOLDING CHAMBER/MASK | ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ LG MASK ADULT DEVICE |
N/A DEV |
MPI | N/A | N/A | NO | NOT A BENEFIT | |
00990106 | AEROSOL HOLDING CHAMBER/MASK | ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ MED MASK PEDIATRIC DEVICE |
N/A DEV |
MPI | N/A | N/A | NO | NOT A BENEFIT | |
00990105 | AEROSOL HOLDING CHAMBER/MASK | ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ SM MASK INFANT DEVICE |
N/A DEV |
MPI | N/A | N/A | NO | NOT A BENEFIT | |
00999396 | AEROSOL HOLDING CHAMBER/MASK | OPTICHAMBER DIAMOND (WITH LARGE MASK) ADULT DEVICE |
34.0200 DEV |
RNA | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00999397 | AEROSOL HOLDING CHAMBER/MASK | OPTICHAMBER DIAMOND (WITH MEDIUM MASK) PEDIATRIC DEVICE |
30.8700 DEV |
RNA | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00999398 | AEROSOL HOLDING CHAMBER/MASK | OPTICHAMBER DIAMOND (WITH SMALL MASK) INFANT DEVICE |
30.8700 DEV |
RNA | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990016 | AEROSOL HOLDING CHAMBER/MASK | VORTEX CHILD/PEDIATRIC MASK DEVICE PEDIATRIC DEVICE |
13.0047 DEV |
KGH | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT | |
00990015 | AEROSOL HOLDING CHAMBER/MASK | VORTEX TODDLER/INFANT MASK DEVICE INFANT DEVICE |
13.0047 DEV |
KGH | 0.0000 | 0.0000 | YES | RESTRICTED BENEFIT |
DIN/NPN/ PIN | 00990091 |
Generic Name | AEROSOL HOLDING CHAMBER |
Product Name, Strength & Dosage Form | AEROCHAMBER PLUS FLOW-VU W/ MOUTHPIECE DEVICE |
Unit Price, Unit of Issue | 25.3200 |
Manufacturer | TMI |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990100 |
Generic Name | AEROSOL HOLDING CHAMBER |
Product Name, Strength & Dosage Form | AEROCHAMBER PLUS FLOW-VU YOUTH W/ MOUTHPIECE DEVICE |
Unit Price, Unit of Issue | 25.3200 |
Manufacturer | TMI |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990104 |
Generic Name | AEROSOL HOLDING CHAMBER |
Product Name, Strength & Dosage Form | ANTI-STATIC COMPACT SPACE CHAMBER PLUS MOUTHPIECE DEVICE |
Unit Price, Unit of Issue | N/A |
Manufacturer | MPI |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 00999399 |
Generic Name | AEROSOL HOLDING CHAMBER |
Product Name, Strength & Dosage Form | OPTICHAMBER DIAMOND (CHAMBER ONLY) DEVICE |
Unit Price, Unit of Issue | 18.0600 |
Manufacturer | RNA |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990080 |
Generic Name | AEROSOL HOLDING CHAMBER |
Product Name, Strength & Dosage Form | VORTEX DEVICE |
Unit Price, Unit of Issue | 19.4977 |
Manufacturer | KGH |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990110 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | AEROCHAMBER 2 GO ADULT DEVICE |
Unit Price, Unit of Issue | N/A |
Manufacturer | TMI |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 00990109 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | AEROCHAMBER PLUS FLOW-VU W/ ADULT SMALL MASK ADULT DEVICE |
Unit Price, Unit of Issue | 42.8500 |
Manufacturer | TMI |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990094 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | AEROCHAMBER PLUS FLOW-VU W/ LARGE MASK ADULT DEVICE |
Unit Price, Unit of Issue | 42.8500 |
Manufacturer | TMI |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990093 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | AEROCHAMBER PLUS FLOW-VU W/ MEDIUM MASK PEDIATRIC DEVICE |
Unit Price, Unit of Issue | 40.5000 |
Manufacturer | TMI |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990092 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | AEROCHAMBER PLUS FLOW-VU W/ SMALL MASK INFANT DEVICE |
Unit Price, Unit of Issue | 40.5000 |
Manufacturer | TMI |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990107 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ LG MASK ADULT DEVICE |
Unit Price, Unit of Issue | N/A |
Manufacturer | MPI |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 00990106 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ MED MASK PEDIATRIC DEVICE |
Unit Price, Unit of Issue | N/A |
Manufacturer | MPI |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 00990105 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ SM MASK INFANT DEVICE |
Unit Price, Unit of Issue | N/A |
Manufacturer | MPI |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 00999396 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | OPTICHAMBER DIAMOND (WITH LARGE MASK) ADULT DEVICE |
Unit Price, Unit of Issue | 34.0200 |
Manufacturer | RNA |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00999397 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | OPTICHAMBER DIAMOND (WITH MEDIUM MASK) PEDIATRIC DEVICE |
Unit Price, Unit of Issue | 30.8700 |
Manufacturer | RNA |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00999398 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | OPTICHAMBER DIAMOND (WITH SMALL MASK) INFANT DEVICE |
Unit Price, Unit of Issue | 30.8700 |
Manufacturer | RNA |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990016 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | VORTEX CHILD/PEDIATRIC MASK DEVICE PEDIATRIC DEVICE |
Unit Price, Unit of Issue | 13.0047 |
Manufacturer | KGH |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |
DIN/NPN/ PIN | 00990015 |
Generic Name | AEROSOL HOLDING CHAMBER/MASK |
Product Name, Strength & Dosage Form | VORTEX TODDLER/INFANT MASK DEVICE INFANT DEVICE |
Unit Price, Unit of Issue | 13.0047 |
Manufacturer | KGH |
LCA Price | 0.0000 |
MAC Price | 0.0000 |
Interchangeable Products | YES |
Coverage Status | RESTRICTED BENEFIT |
Details |