WELCOME

NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
71839-0105-24	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (USP, MDV,LATEX-FREE) 0.5 MG/1 ML	IV
71839-0106-01	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (USP,SDV,LATEX-FREE) 1 MG/1 ML	IV
71839-0106-10	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (MDV,LATEX-FREE) 1 MG/1 ML	IV
71839-0106-24	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (USP,SDV,LATEX-FREE) 1 MG/1 ML	IV
71839-0107-01	J0878	INJECTION, DAPTOMYCIN, 1 MG	DAPTOMYCIN (SDV,PF,LYOPHILIZED) 500 MG	IV
71839-0108-01	J0878	INJECTION, DAPTOMYCIN, 1 MG	DAPTOMYCIN (SDV,PF,LATEX-FREE) 350 MG	IV
71839-0117-25	J1644	INJECTION, HEPARIN SODIUM, PER 1000 UNITS	HEPARIN SODIUM (SDV,25X2ML,PF) 1000 U/1 ML	IJ
71839-0118-25	J1644	INJECTION, HEPARIN SODIUM, PER 1000 UNITS	HEPARIN SODIUM (25X0.5ML,SDV,PF) 5000 U/0.5 ML	IJ
71839-0122-10	J3490	UNCLASSIFIED DRUGS	PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG	IV
71839-0122-25	J3490	UNCLASSIFIED DRUGS	PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG	IV
71839-0123-25	J7643	GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM	GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML	IJ
71839-0123-25	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
K0108	Hardware For Custom Seat And/Or Back	Each	Y
K0108	Leg Trough	Each	Y
K0108	Misc. Part Or Component For Use With Medical Stroller.	Each	Y
K0108	Wheelchair Tiedowns (also known as transit option or transit bracket)	Each	Y
K0108	Shoe Holders	Each	Y
K0108	Special/Miscellaneous Hardware or Component For Power or Manual Wheelchair Not Otherwise Specified.	Each	Y
K0108	Standby Switch For Use With Specially Controlled Power Mobility Device.	Each	Y
K0108	Subasis Bar (Swing Away Or Stationary)	Each	Y
K0108	Thoracic Pads With Hardware	Each	Y
K0108	Wheelchair Mount For Communication Device	Each	Y
K0857	Power Wheelchair, Group 3 Standard, Single Power Option, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds	Each	Y
K0857 RR	Power Wheelchair, Group 3 Standard, Single Power Option, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds	Day	Y