top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
16714-0465-01 | J9171 | INJECTION, DOCETAXEL, 1 MG | DOCETAXEL 20 MG/1 ML | IV |
16714-0467-01 | None | CAPECITABINE, 150 MG, ORAL | CAPECITABINE (USP,FILM COATED) 150 MG | PO |
16714-0468-01 | None | CAPECITABINE, 500 MG, ORAL | CAPECITABINE (USP,FILM COATED) 500 MG | PO |
16714-0472-01 | J1040 | INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG | METHYLPREDNISOLONE ACETATE (1X1ML;USP;SDV) 80 MG/1 ML | IJ |
16714-0472-25 | J1040 | INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG | METHYLPREDNISOLONE ACETATE (25X1ML;SDV;USP) 80 MG/1 ML | IJ |
16714-0473-01 | J1040 | INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG | METHYLPREDNISOLONE ACETATE (USP;MDV,LATEX-FREE) 80 MG/1 ML | IJ |
16714-0500-01 | J9171 | INJECTION, DOCETAXEL, 1 MG | DOCETAXEL 20 MG/1 ML | IV |
16714-0517-01 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM | IV |
16714-0528-10 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL (PF,LATEX-FREE) 10 MG/1 ML | IV |
16714-0528-20 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL (PF,LATEX-FREE) 10 MG/1 ML | IV |
16714-0536-25 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML | IJ |
16714-0536-25 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML | IJ |
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
