WELCOME

NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
68001-0582-41	J1631	INJECTION, HALOPERIDOL DECANOATE, PER 50 MG	HALOPERIDOL DECANOATE (MDV,LATEX-FREE) 100 MG/1 ML	IM
68047-0702-21	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE (6-DAY DOSE PACK) 1.5 MG	PO
68047-0702-35	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE (10-DAY DOSE PACK) 1.5 MG	PO
68047-0702-51	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE (13-DAY DOSE PACK) 1.5 MG	PO
68084-0229-01	J7500	AZATHIOPRINE, ORAL, 50 MG	AZATHIOPRINE 50 MG	PO
68084-0450-01	J7507	TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG	TACROLIMUS (10X10,HARD GELATIN) 1 MG	PO
68094-0063-61	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML	PO
68094-0063-62	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML	PO
68094-0101-10	J2760	INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG	PHENTOLAMINE MESYLATE (LYOPHILIZED) 5 MG	IJ
68094-0101-20	J2760	INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG	PHENTOLAMINE MESYLATE (LYOPHILIZED) 5 MG	IJ
68094-0174-62	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML	PO
68135-0020-01	J1458	INJECTION, GALSULFASE, 1 MG	NAGLAZYME (PF) 1 MG/ML	IV

HCPCS Code	Description	Billing Unit	SA Type
A6250	Skin sealants, protectants, moisterizers, ointments, any type, any size	Each	N
A6251	Specialty absorptive dressing, wound cover, pad size 16 sq. in. or less, without adhesive border, each dressing	Each	N
A6252	Specialty absorptive dressing, wound cover, pad size more than 16 sq. in. but less than 48 sq. in. without adhesive border, each dressing	Each	N
A6253	Specialty absorptive dressing, wound cover, pad size more than 48 sq. in. without adhesive border, each dressing	Each	N
A6254	Specialty absorptive dressing, wound cover, pad size 16 sq. in. or less, with any size adhesive border, each dressing	Each	N
A6255	Specialty absorptive dressing, wound cover, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing	Each	N
A6256	Specialty absorptive dressing, wound cover, pad size more than 48 sq. in., with any size adhesive border, each dressing	Each	Y
A6257	Transparent film, 16 sq. in. or less, each dressing	Each	N
A6258	Transparent film, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	Each	N
A6259	Transparent film more than 48 sq. in., each dressing	Each	N
A6260	Wound cleansers, any type, any size	IC	N
A6261	Wound filler, gel/paste, per fluid ounce, not elsewhere classified	Ounce	Y