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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
23155-0800-01 | Q0175 | PERPHENAZINE, 4 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 | PERPHENAZINE (USP,FILM COATED) 4 MG | PO |
23155-0801-01 | Q0175 | PERPHENAZINE, 4 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 | PERPHENAZINE (USP,FILM COATED) 8 MG | PO |
23155-0802-01 | Q0175 | PERPHENAZINE, 4 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 | PERPHENAZINE (USP,FILM COATED) 16 MG | PO |
23155-0823-73 | J8515 | CABERGOLINE, ORAL, 0.25 MG | CABERGOLINE 0.5 MG | PO |
23155-0830-01 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (HARD GELATIN) 250 MG | PO |
23155-0830-05 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (HARD GELATIN) 250 MG | PO |
23155-0836-01 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (USP,FILM-COATED) 500 MG | PO |
23155-0836-05 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (USP,FILM-COATED) 500 MG | PO |
23155-0837-30 | J7515 | CYCLOSPORINE, ORAL, 25 MG | CYCLOSPORINE, MODIFIED (SOFT GELATIN) 25 MG | PO |
23155-0838-30 | J7515 | CYCLOSPORINE, ORAL, 25 MG | CYCLOSPORINE, MODIFIED (SOFT GELATIN) 50 MG | PO |
23155-0839-30 | J7502 | CYCLOSPORINE, ORAL, 100 MG | CYCLOSPORINE, MODIFIED (SOFT GELATIN) 100 MG | PO |
23155-0857-03 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | ANASTROZOLE 1 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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