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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
70594-0047-01
J3372
INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG
VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM
IV
70594-0048-01
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
VANCOMYCIN HCL (PHARMACY BULK PACKAGE) 10 GM
IV
70594-0048-01
J3372
INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG
VANCOMYCIN HCL (PHARMACY BULK PACKAGE) 10 GM
IV
70594-0053-01
J0878
INJECTION, DAPTOMYCIN, 1 MG
DAPTOMYCIN (PF,LYOPHILIZED) 350 MG
IV
70594-0056-03
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
VANCOMYCIN HCL (FLEXIBLE BAG) 750 MG/150 ML
IV
70594-0056-03
J3372
INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG
VANCOMYCIN HCL (FLEXIBLE BAG) 750 MG/150 ML
IV
70594-0057-02
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
VANCOMYCIN HCL (FLEXIBLE BAG) 1.25 GM/250 ML
IV
70594-0057-02
J3372
INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG
VANCOMYCIN HCL (FLEXIBLE BAG) 1.25 GM/250 ML
IV
70594-0058-02
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
VANCOMYCIN HCL (FLEXIBLE BAG) 1.75 GM/350 ML
IV
70594-0058-02
J3372
INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG
VANCOMYCIN HCL (FLEXIBLE BAG) 1.75 GM/350 ML
IV
70594-0063-02
J2370
INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML
PHENYLEPHRINE HCL (USP,LATEX-FREE) 10 MG/1 ML
IV
70594-0063-02
J2371
INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS
PHENYLEPHRINE HCL (USP,LATEX-FREE) 10 MG/1 ML
IV
HCPCS Code
Description
Billing Unit
SA Type
A4613 RR
Battery, charger; replacement for patient-owner ventilator
Day
N
A4638
Replacement battery, for patient�owned ear pulse generator, each
Each
Y
A4660
Sphygmomanometer/Bp Apparatus W/Cuff And Stethoscope
Each
N
A4670
Automatic Blood Pressure Monitor
Each
N
A4927
Gloves, Non-Sterile, Sm., Med., Lrg.
Per Box of 100
N
A4930
Gloves, Sterile, Sm., Med., Lrg.
Per Pair
N
A9901
DME Delivery, set up, and/or dispensing service component of another HCPCS code
Each
Y
E0160
Sitz bath or equipment, portable, used with or without commode
Each
N
E0160 RR
Sitz bath or equipment, portable, used with or without commode
Day
N
E0161
Sitz type bath or equipment, portable, used with or without commode, with faucet attachment's)
Each
N
E0161 RR
Sitz type bath or equipment, portable, used with or without commode, with faucet attachment's
Day
N
E0162
Sitz bath chair
Each
N
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