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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
51754-2500-03 | J1574 | INJECTION, GANCICLOVIR SODIUM (EXELA) NOT THERAPEUTICALLY EQUIVALENT TO J1570, 500 MG | GANCICLOVIR-SODIUM CHLORIDE (PF) 500 MG/250 ML-0.8% | IV |
51754-4000-03 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | VAZCULEP (10X5ML,LATEX-FREE) 10 MG/1 ML | IV |
51754-4000-03 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | VAZCULEP (10X5ML,LATEX-FREE) 10 MG/1 ML | IV |
51754-4020-01 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | VAZCULEP (LATEX-FREE) 10 MG/1 ML | IV |
51754-4020-01 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | VAZCULEP (LATEX-FREE) 10 MG/1 ML | IV |
51754-5060-01 | J0702 | INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG | BETAMETHASONE ACETATE-BETAMETHASONE SODIUM PHOSPH (MDV) 3 MG/1 ML-3 MG/1 ML | IJ |
51754-6000-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (SDV,PF) 0.2 MG/1 ML | IJ |
51754-6000-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (SDV,PF) 0.2 MG/1 ML | IJ |
51754-6001-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (SDV,PF) 0.2 MG/1 ML | IJ |
51754-6001-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (SDV,PF) 0.2 MG/1 ML | IJ |
51754-6013-03 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (PF) 0.2 MG/1 ML | IJ |
51754-6013-03 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYRX-PF (PF) 0.2 MG/1 ML | IJ |
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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