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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
51552-0671-04 | J0133 | INJECTION, ACYCLOVIR, 5 MG | ACYCLOVIR (U.S.P.) | NA |
51552-0671-05 | J0133 | INJECTION, ACYCLOVIR, 5 MG | ACYCLOVIR (U.S.P.) | NA |
51754-6015-03 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (PF) 0.2 MG/1 ML | IJ |
51754-6015-03 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (PF) 0.2 MG/1 ML | IJ |
51759-0202-10 | J3031 | INJECTION, FREMANEZUMAB-VFRM, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF-ADMINISTERED) | AJOVY (AUTOINJECTOR,PF) 225 MG/1.5 ML | SC |
51759-0202-22 | J3031 | INJECTION, FREMANEZUMAB-VFRM, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF-ADMINISTERED) | AJOVY (AUTOINJECTOR,PF) 225 MG/1.5 ML | SC |
51759-0204-10 | J3031 | INJECTION, FREMANEZUMAB-VFRM, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF-ADMINISTERED) | AJOVY (PF,LATEX-FREE) 225 MG/1.5 ML | SC |
51862-0083-14 | None | TEMOZOLOMIDE, 5 MG, ORAL | TEMOZOLOMIDE 5 MG | PO |
51862-0083-51 | None | TEMOZOLOMIDE, 5MG, ORAL | TEMOZOLOMIDE 5 MG | PO |
51862-0084-14 | None | TEMOZOLOMIDE, 20 MG, ORAL | TEMOZOLOMIDE 20 MG | PO |
51862-0084-51 | None | TEMOZOLOMIDE, 20 MG, ORAL | TEMOZOLOMIDE 20 MG | PO |
51862-0085-14 | None | TEMOZOLOMIDE, 100 MG, ORAL | TEMOZOLOMIDE 100 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | Each | N |
A7006 | Administration set, with small volume filter pneumatic nebulizer | Each | N |
A7007 | Large voume nebulizer, disposable, unfilled, used with aerosol compressor | Each | N |
A7008 | Large volume nebulizer, disposable, Prefilled, used with aerosol compressor | Each | N |
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