top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
38779-0495-08 | J7604 | ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM | ACETYLCYSTEINE (U.S.P.) | NA |
38779-0495-08 | J7604 | ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM | ACETYLCYSTEINE (U.S.P.) | NA |
38779-0495-09 | J7604 | ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM | ACETYLCYSTEINE (U.S.P.) | NA |
38779-0495-09 | J7604 | ACETYLCYSTEINE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM | ACETYLCYSTEINE (U.S.P.) | NA |
49230-0530-25 | J1756 | INJECTION, IRON SUCROSE, 1MG | VENOFER (25X2.5ML,SDV) 20 MG/1ML | IV |
49230-0534-10 | J1756 | INJECTION, IRON SUCROSE, 1MG | VENOFER (SDV,10X5ML) 20 MG/1ML | IV |
49230-0534-25 | J1756 | INJECTION, IRON SUCROSE, 1MG | VENOFER (SDV,25X5ML) 20 MG/1ML | IV |
49281-0545-05 | J3490 | UNCLASSIFIED DRUGS | ACTHIB (SDV W/DIL,TAX INCL,PF) 10 MCG | IM |
49348-0045-34 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | VALU-DRYL ALLERGY CHILDREN'S 12.5 MG/5 ML | PO |
49348-0205-37 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | VALU-DRYL ALLERGY CHILDREN'S (AF,CHERRY) 12.5 MG/5 ML | PO |
49452-0001-03 | J0133 | INJECTION, ACYCLOVIR, 5 MG | ACYCLOVIR (U.S.P.) | NA |
49452-0001-04 | J0133 | INJECTION, ACYCLOVIR, 5 MG | ACYCLOVIR (U.S.P.) | NA |
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 |
bottom of page