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This form is a required attachment for any Alabama Medicaid paper crossover claim using a drug HCPCS code on a Medical Crossover or an Institutional Crossover.
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How to fill out ndc detail attachment
How to fill out NDC Detail Attachment
01
Begin by obtaining the NDC Detail Attachment form from the appropriate authority or website.
02
Enter the name of the product for which the NDC is being reported.
03
Provide the National Drug Code (NDC) number as required.
04
Fill in additional product details such as strength, dosage form, and packaging.
05
Indicate whether the product is prescription or over-the-counter.
06
Include relevant manufacturer information and contact details.
07
Review the completed form for accuracy before submission.
08
Submit the form according to the instructions provided by the authority.
Who needs NDC Detail Attachment?
01
Manufacturers of pharmaceuticals and healthcare products.
02
Wholesalers and distributors involved in the supply of drugs.
03
Regulatory agencies requiring product registration.
04
Healthcare professionals for verifying medication information.
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What is NDC Detail Attachment?
The NDC Detail Attachment is a document required for reporting National Drug Code (NDC) information related to drug products for compliance and regulatory purposes.
Who is required to file NDC Detail Attachment?
Manufacturers, wholesalers, and distributors of pharmaceutical products that use NDCs are typically required to file the NDC Detail Attachment.
How to fill out NDC Detail Attachment?
To fill out the NDC Detail Attachment, complete the required fields with information such as the product's NDC number, description, packaging details, and quantity. Follow the provided guidelines or instructions specific to the filing agency.
What is the purpose of NDC Detail Attachment?
The purpose of the NDC Detail Attachment is to ensure accurate reporting of drug products' NDCs for tracking, inventory, regulation, and compliance with federal and state laws.
What information must be reported on NDC Detail Attachment?
The information that must be reported includes the NDC number, product name, dosage form, strength, package size, labeler name, and any applicable quantity and distribution details.
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