LEVULAN KERASTICK
NDC 67308-101 · Sun Pharmaceutical Industries, Inc
Generic nameaminolevulinic acid hydrochloride
Dosage formKIT
Marketing categoryNDA
Packages
67308-101-01 — 1 KIT in 1 APPLICATOR (67308-101-01) * 1.5 mL in 1 AMPULE * 1.5 mL in 1 AMPULE
67308-101-02 — 2 APPLICATOR in 1 CARTON (67308-101-02) / 1 KIT in 1 APPLICATOR (67308-101-01) * 1.5 mL in 1 AMPULE * 1.5 mL in 1 AMPULE
67308-101-06 — 6 APPLICATOR in 1 CARTON (67308-101-06) / 1 KIT in 1 APPLICATOR (67308-101-01) * 1.5 mL in 1 AMPULE * 1.5 mL in 1 AMPULE
Billed under HCPCS
J7308 — Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) Medicare Part B payment limit (ASP + 6%): $389.28