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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68462-0158-13 | 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) 8 MG | PO |
68462-0469-54 | J3490 | UNCLASSIFIED DRUGS | BUMETANIDE (SDV,LATEX-FREE) 0.25 MG/1 ML | IJ |
68462-0470-54 | J3490 | UNCLASSIFIED DRUGS | BUMETANIDE (MDV,LATEX-FREE) 0.25 MG/1 ML | IJ |
68462-0502-01 | J7500 | AZATHIOPRINE, ORAL, 50 MG | AZATHIOPRINE 50 MG | PO |
68462-0583-85 | J8501 | APREPITANT, ORAL, 5 MG | APREPITANT (1X5,HARD GELATIN) 40 MG | PO |
68462-0584-58 | J8501 | APREPITANT, ORAL, 5 MG | APREPITANT (2-DAY PACK,HARD GELATIN) 80 MG | PO |
68462-0584-76 | J8501 | APREPITANT, ORAL, 5 MG | APREPITANT (1X6,HARD GELATIN) 80 MG | PO |
68462-0585-76 | J8501 | APREPITANT, ORAL, 5 MG | APREPITANT (1X6,HARD GELATIN) 125 MG | PO |
68462-0682-01 | J7520 | SIROLIMUS, ORAL, 1 MG | SIROLIMUS (FILM-COATED) 0.5 MG | PO |
68462-0683-01 | J7520 | SIROLIMUS, ORAL, 1 MG | SIROLIMUS (FILM-COATED) 1 MG | PO |
63323-0972-10 | J1453 | INJECTION, FOSAPREPITANT, 1 MG | FOSAPREPITANT DIMEGLUMINE (SDV,LATEX-FREE) 150 MG | IV |
63323-0981-21 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SINGLE USE,PF) 2 GM-0.25 GM | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0779 RR | Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater | Day | N |
E0780 | Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours | Each | Y |
E0780 RR | Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours | Day | N |
E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient. | Each | Y |
E0781 RR | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient. | Day | N |
E0784 | External ambulatory infusion pump, insulin | Each | Y |
E0784 RR | External ambulatory infusion pump, insulin | Day | N |
E1399 | 3-Volt Battery | Each | Y |
E1399 | 6" Extension Tubing With Slide Clamp And Luer Lock Adapter | Each | Y |
E1399 | 6-Volt Or 9-Volt Battery | Each | Y |
E1399 | Adapter, Luer Lock | Each | Y |
E1399 | Alcohol Cotton Tip Swabs | Each | Y |
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