08/27/2021
(ASC X12) 1330 Dosage Form Code
TYPE=ID MIN=2 MAX=2
Code indicating the form in which the drug is dispensed
Codes
| 1 | Combination Forms |
| 2 | Test Kits |
| 3 | Contraceptive Devices |
| 4 | Devices |
| 5 | Patch or Disc |
| 6 | Chewable (candy) Bar |
| 7 | Dosepak |
| 10 | Tablet |
| 11 | Enteric Coated Tablet |
| 12 | Sustained Release Tablet |
| 13 | Buccal or Sublingual Tablet |
| 14 | Chewable Tablet |
| 15 | Soluble Tablet |
| 16 | Tablet Unspecified |
| 20 | Capsule |
| 21 | Sustained Release Capsule |
| 22 | Capsule Unspecified |
| 23 | Tablet 21 Day Supply |
| 24 | Tablet 28 Day Supply |
| 25 | Enteric Coated Capsule |
| 30 | Lozenge or Troche |
| 31 | Internal Powder |
| 32 | Chewing Gum |
| 33 | Granules |
| 34 | Swabs |
| 40 | Injection |
| 41 | Sustained Release Injection |
| 42 | Injectable Unspecified |
| 43 | Injectable Lyophilized Powder |
| 50 | Opthalmic |
| 51 | Opthalmic Liquid |
| 52 | Opthalmic or Otic |
| 53 | Ophthalmic Liquid (Compliance Cap) |
| 60 | Elixir |
| 61 | Suspension |
| 62 | Syrup |
| 63 | Solution |
| 64 | Emulsion |
| 65 | Drops |
| 66 | Pediatric Liquid |
| 67 | Liquid |
| 68 | Oral, Liquid and Sustained Release |
| 69 | Rectal Cream or Ointment |
| 70 | Rectal Suppository |
| 71 | Vaginal Suppository |
| 72 | Vaginal Tablet |
| 73 | Vaginal Cream |
| 74 | Vaginal Foam |
| 75 | Urethral Suppository |
| 76 | Enema |
| 77 | Douche |
| 78 | Vaginal Ointment |
| 79 | Contraceptive Sponge |
| 80 | External Ointment |
| 81 | External Cream |
| 82 | Dental Product |
| 83 | Aerosol Powder |
| 84 | Aerosol Spray |
| 85 | External Liquid |
| 86 | External Powder |
| 87 | Dental Mouth Rinse |
| 88 | Inhalant (Refill Canister Only) |
| 89 | External Powder |
| 90 | Irrigant |
| 91 | Gargle |
| 92 | Throat Spray and Swabs |
| 93 | Nasal |
| 94 | Inhalant |
| 95 | Otic |
| 96 | Soap |
| 97 | Stick |
| 98 | Dressing or Bandage |
| 99 | Miscellaneous Unspecified |
Appears in
| SV4 | Drug Service |
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