DDCRX, LLC
NPI: 1508347451
· LEWISVILLE, TX 75067
· Long Term Care Pharmacy
· NPI assigned 08/28/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DONNELLY, TODD (SVP COMPLIANCE) |
| NPI Enumeration Date | 08/28/2018 |
Related Entities
Other providers sharing the same authorized official: DONNELLY, TODD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,670 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
412 |
350 |
$0.00 |
| J3490 |
Unclassified drugs |
610 |
433 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
254 |
216 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
125 |
117 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
269 |
229 |
$0.00 |