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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68001-0347-36 | J0894 | INJECTION, DECITABINE, 1 MG | DECITABINE (LYOPHILIZED) 50 MG | IV |
68001-0348-36 | J9201 | INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG | GEMCITABINE 100 MG/1 ML | IV |
68001-0351-60 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
68001-0351-60 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
68001-0352-71 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
68001-0352-71 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
68001-0353-72 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
68001-0353-72 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
68001-0355-25 | J2469 | INJECTION, PALONOSETRON HCL, 25 MCG | PALONOSETRON HCL 0.05 MG/1 ML | IV |
68001-0359-37 | J9201 | INJECTION, GEMCITABINE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 200 MG | GEMCITABINE 100 MG/1 ML | IV |
68001-0366-25 | J3489 | INJECTION, ZOLEDRONIC ACID, 1 MG | ZOLEDRONIC ACID (SDV) 4 MG/5 ML | IV |
68001-0370-27 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (SDV,USP,PF) 500 MG | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0642 | Standing Frame/Table System, Mobile (Dynamic Stander), Any Size Including Pediatric | Each | Y |
E0642 RR | Standing Frame/Table System, Mobile (Dynamic Stander), Any Size Including Pediatric | Day | N |
E0650 | Pneumatic compressor, nonsegmental home model | Each | Y |
E0650 RR | Pneumatic compressor, nonsegmental home model | Day | N |
E0651 | Pneumatic compressor, segmental home model without calibrated gradient pressure | Each | Y |
E0651 RR | Pneumatic compressor, segmental home model without calibrated gradient pressure | Day | N |
E0652 | Pneumatic compressor, segmental home model with calibrated gradient pressure | Each | Y |
E0652 RR | Pneumatic compressor, segmental home model with calibrated gradient pressure | Day | N |
E0655 | Nonsegmetal Pneumatic appliance for use with pneumatic compressor, half arm | Each | Y |
E0655 RR | Nonsegmetal Pneumatic appliance for use with pneumatic compressor, half arm | Day | N |
E0656 | Segmnetal pneumatic appliance for use with pneumatic compressor, trunk | Each | Y |
E0656 RR | Segmnetal pneumatic appliance for use with pneumatic compressor, trunk | Day | N |
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