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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70436-0025-82 | J0583 | INJECTION, BIVALIRUDIN, 1 MG | BIVALIRUDIN (SDV,LYOPHILIZED) 250 MG | IV |
70436-0026-80 | J1327 | INJECTION, EPTIFIBATIDE, 5 MG | EPTIFIBATIDE (SDV) 2 MG/1 ML | IV |
70436-0027-80 | J1327 | INJECTION, EPTIFIBATIDE, 5 MG | EPTIFIBATIDE (SDV) 0.75 MG/1 ML | IV |
70436-0029-80 | J3465 | INJECTION, VORICONAZOLE, 10 MG | VORICONAZOLE (PF,LATEX-FREE) 200 MG | IV |
70436-0089-55 | J1570 | INJECTION, GANCICLOVIR SODIUM, 500 MG | GANCICLOVIR (USP,LYOPHILIZED) 500 MG | IV |
70436-0147-81 | J0500 | INJECTION, DICYCLOMINE HCL, UP TO 20 MG | DICYCLOMINE HCL (5X2ML;SDV) 10 MG/1 ML | IM |
70436-0151-57 | J7605 | ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS | ARFORMOTEROL TARTRATE (30X2ML,PF,LATEX-FREE) 15 MCG/2 ML | IH |
70436-0151-57 | J7605 | ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS | ARFORMOTEROL TARTRATE (30X2ML,PF,LATEX-FREE) 15 MCG/2 ML | IH |
70436-0151-58 | J7605 | ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS | ARFORMOTEROL TARTRATE (60X2ML,PF,LATEX-FREE) 15 MCG/2 ML | IH |
70436-0151-58 | J7605 | ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS | ARFORMOTEROL TARTRATE (60X2ML,PF,LATEX-FREE) 15 MCG/2 ML | IH |
70436-0162-80 | J1327 | INJECTION, EPTIFIBATIDE, 5 MG | PREMIERPRO RX EPTIFIBATIDE (SDV) 2 MG/1 ML | IV |
70436-0163-80 | J1327 | INJECTION, EPTIFIBATIDE, 5 MG | PREMIERPRO RX EPTIFIBATIDE (SDV) 0.75 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E1399 | IV Administration Set W/Drainage Tubing | Each | Y |
E1399 | IV administration set with attachments and drainage tubing | Each | Y |
E1399 | IV Start Kit | Each | Y |
E1399 | IV Tubing With Filter For Pump Infusion | Each | Y |
E1399 | J-Loop - Extension Tubing | Each | Y |
E1399 | Needleless IV Access-Cannula | Each | Y |
E1399 | Needleless IV Access-Site | Each | Y |
E1399 | Needleless IV Access-Vial Adapter | Each | Y |
E1399 | Peripheral IV Catheter With Y-Injection Site - All Sizes | Each | Y |
E1399 | Remote Reservoir | Each | Y |
E1399 | Sharps Container For Needle Disposal | Each | Y |
E1399 | Subcutaneous Disc Set For Pain Management | Each | Y |
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