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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
14789-0220-10 | J1953 | INJECTION, LEVETIRACETAM, 10 MG | LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1000 MG/100 ML-0.75% | IV |
14789-0330-15 | J1953 | INJECTION, LEVETIRACETAM, 10 MG | LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1500 MG/100 ML-0.54% | IV |
14789-0600-10 | J9017 | INJECTION, ARSENIC TRIOXIDE, 1 MG | ARSENIC TRIOXIDE (10X10 SDV,PF) 1 MG/1 ML | IV |
14789-0700-02 | J0780 | INJECTION, PROCHLORPERAZINE, UP TO 10 MG | PROCHLORPERAZINE EDISYLATE 5 MG/1 ML | IJ |
15014-0211-21 | J8540 | DEXAMETHASONE, ORAL, 0.25 MG | HIDEX (6-DAY) 1.5 MG | PO |
15054-0043-01 | J9205 | INJECTION, IRINOTECAN LIPOSOME, 1 MG | ONIVYDE (SDV) 4.3 MG/1 ML | IV |
15054-0500-01 | J0586 | INJECTION, ABOBOTULINUMTOXINA, 5 UNITS | DYSPORT 500 U | IM |
15054-0530-06 | J0586 | INJECTION, ABOBOTULINUMTOXINA, 5 UNITS | DYSPORT (SINGLE USE) 300 U | IM |
15054-1040-05 | J2170 | INJECTION, MECASERMIN, 1 MG | INCRELEX (10X4ML,M.D.V.) 10 MG/ML | SC |
15054-1060-03 | J1930 | INJECTION, LANREOTIDE, 1 MG | SOMATULINE DEPOT (1X0.2ML, SINGLE USE) 60 MG/0.2 ML | SC |
15054-1060-04 | J1930 | INJECTION, LANREOTIDE, 1 MG | SOMATULINE DEPOT (1X0.2ML, SINGLE USE) 60 MG/0.2 ML | SC |
15054-1090-03 | J1930 | INJECTION, LANREOTIDE, 1 MG | SOMATULINE DEPOT (1X0.3ML, SINGLE USE) 90 MG/0.3 ML | SC |
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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