top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
42291-0085-30 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | ANASTROZOLE (FILM-COATED) 1 MG | PO |
42291-0085-90 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | ANASTROZOLE (USP,FILM-COATED) 1 MG | PO |
42291-0155-01 | J8540 | DEXAMETHASONE, ORAL, 0.25 MG | DEXAMETHASONE 4 MG | PO |
42291-0166-60 | None | CAPECITABINE, 150 MG, ORAL | CAPECITABINE (USP,FILM COATED) 150 MG | PO |
42291-0167-12 | None | CAPECITABINE, 500 MG, ORAL | CAPECITABINE (USP, FILM COATED) 500 MG | PO |
42291-0190-60 | None | CAPECITABINE, 150 MG, ORAL | CAPECITABINE (USP,FILM-COATED) 150 MG | PO |
42291-0191-12 | None | CAPECITABINE, 500 MG, ORAL | CAPECITABINE (USP,FILM-COATED) 500 MG | PO |
42291-0406-50 | Q0177 | HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | HYDROXYZINE PAMOATE 25 MG | PO |
42291-0406-90 | Q0177 | HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | HYDROXYZINE PAMOATE 25 MG | PO |
42291-0407-50 | Q0177 | HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | HYDROXYZINE PAMOATE 50 MG | PO |
42291-0754-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS 5 MG | PO |
42291-0768-01 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE (USP) 2.5 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 |
bottom of page