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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68001-0371-32 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (SDV,USP,PF) 1 GM | IV |
68001-0372-32 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (SDV,USP,PF) 2 GM | IV |
68001-0376-68 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (PF,LYOPHILIZED) 500 MG | IV |
68001-0389-36 | J9280 | INJECTION, MITOMYCIN, 5 MG | MITOMYCIN (USP) 5 MG | IV |
68001-0390-77 | J9280 | INJECTION, MITOMYCIN, 5 MG | MITOMYCIN (USP) 20 MG | IV |
68001-0391-79 | J9280 | INJECTION, MITOMYCIN, 5 MG | MITOMYCIN (USP) 40 MG | IV |
68001-0406-73 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM | IV |
68001-0407-75 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PACKAGE) 10 GM | IV |
68001-0408-31 | J1335 | INJECTION, ERTAPENEM SODIUM, 500 MG | ERTAPENEM (SDV,LYOPHILIZED) 1 GM | IJ |
68001-0416-36 | J0640 | INJECTION, LEUCOVORIN CALCIUM, PER 50 MG | LEUCOVORIN CALCIUM (PF,LYOPHILIZED) 100 MG | IJ |
70436-0203-82 | J1250 | INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG | DOBUTAMINE HCL (SDV) 12.5 MG/1 ML | IV |
70504-3000-02 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (SDV) 15000 IU | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0657 | Segmental pneumatic appliance for use with pneumatic compressor, chest | Each | Y |
E0657 RR | Segmental pneumatic appliance for use with pneumatic compressor, chest | Day | N |
E0660 | Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg | Each | Y |
E0660 RR | Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg | Day | N |
E0665 | Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm | Each | Y |
E0665 RR | Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm | Day | N |
E0666 | Nonsegmetal Pneumatic appliance for use with pneumatic compressor, half leg | Each | Y |
E0666 RR | Nonsegmetal Pneumatic appliance for use with pneumatic compressor, half leg | Day | N |
E0667 | Segmental pneumatic appliance for use with pneumatic compressor, full leg | Each | Y |
E0667 RR | Segmental pneumatic appliance for use with pneumatic compressor, full leg | Day | N |
E0668 | Segmental pneumatic appliance for use with pneumatic compressor, full arm | Each | Y |
E0668 RR | Segmental pneumatic appliance for use with pneumatic compressor, full arm | Day | N |
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