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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
14789-0116-05 | J1364 | INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG | ERYTHROCIN LACTOBIONATE (USP; SDV,LYOPHILIZED) 500 MG | IV |
14789-0121-05 | J2440 | INJECTION, PAPAVERINE HCL, UP TO 60 MG | PAPAVERINE HCL (SDV, USP) 30 MG/1 ML | IJ |
14789-0201-05 | J0770 | INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG | COLISTIMETHATE (LYOPHILIZED CAKE) 150 MG | IJ |
16714-0095-25 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | LEVALBUTEROL (PF,LATEX-FREE) 0.63 MG/3 ML | IH |
16714-0096-25 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | LEVALBUTEROL (PF,LATEX-FREE) 1.25 MG/3 ML | IH |
16714-0096-25 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | LEVALBUTEROL (PF,LATEX-FREE) 1.25 MG/3 ML | IH |
16714-0098-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP,HARD GELATIN) 0.5 MG | PO |
16714-0099-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP,HARD GELATIN) 1 MG | PO |
16714-0100-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP,HARD GELATIN) 5 MG | PO |
16714-0119-03 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (4 AMPULES X 14 POUCHES) 300 MG/5 ML | IH |
16714-0119-03 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (4 AMPULES X 14 POUCHES) 300 MG/5 ML | IH |
16714-0120-01 | J1453 | INJECTION, FOSAPREPITANT, 1 MG | FOSAPREPITANT DIMEGLUMINE (SDV,LYOPHILIZED) 150 MG | IV |
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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