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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
66794-0157-01 | J0475 | INJECTION, BACLOFEN, 10 MG | GABLOFEN (1X20ML,SINGLE USE) 2 MG/1 ML | IN |
66794-0157-02 | J0475 | INJECTION, BACLOFEN, 10 MG | GABLOFEN (1X20ML,SINGLE USE) 2 MG/1 ML | IN |
66794-0160-02 | J2274 | INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG | MITIGO (SINGLE USE,PF) 10 MG/1 ML | IJ |
66794-0162-02 | J2274 | INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG | MITIGO (SINGLE USE,PF) 25 MG/1 ML | IJ |
68382-0917-11 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 8 MG | PO |
68382-0918-18 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 16 MG | PO |
68382-0919-11 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 32 MG | PO |
68382-0997-10 | J9017 | INJECTION, ARSENIC TRIOXIDE, 1 MG | ARSENIC TRIOXIDE (SDV,PF,LATEX-FREE) 1 MG/1 ML | IV |
68462-0105-30 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON HYDROCHLORIDE (FILM-COATED) 4 MG | PO |
68462-0106-30 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON HYDROCHLORIDE (FILM-COATED) 8 MG | PO |
68462-0157-13 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON (STRAWBERRY) 4 MG | PO |
68462-0158-11 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON (STRAWBERRY) 8 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0776 RR | IV Pole | Day | N |
A4206 | Syringe with needle, sterile, 1cc or less, each | Each | N |
A4207 | Syringe with needle, sterile 2cc, each | Each | N |
A4208 | Syringe with needle, sterile, 3cc, each | Each | N |
A4209 | Syringe with needle, sterile, 5cc Or Greater, each | Each | N |
A4210 | Needle-free injection device, each | Each | N |
A4212 | Non coring needle or stylet with or without catheter | Each | N |
A4213 | Syringe, sterile, 20cc or greater, each | Each | N |
A4215 | Needles only, sterile, any size, each | Each | N |
A4216 | Sterile water, saline and /or dextrose, diluent/flush, 10 ml | Each | N |
A4245 | Alcohol wipes | Box of 100 | N |
E0779 | Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater | Each | Y |
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