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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
67877-0225-01 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG | PO |
67877-0225-05 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 mg | PO |
67877-0230-22 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (FRUIT) 200 MG/ML | PO |
67877-0266-01 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (HARD GELATIN) 250 MG | PO |
67877-0266-05 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (HARD GELATIN) 250 MG | PO |
67877-0278-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP) 0.5 MG | PO |
67877-0279-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP) 1 MG | PO |
67877-0280-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP) 5 MG | PO |
67877-0426-12 | J7518 | MYCOPHENOLIC ACID, ORAL, 180 MG | MYCOPHENOLIC ACID (DELAYED RELEASE) 180 MG | PO |
67877-0427-12 | J7518 | MYCOPHENOLIC ACID, ORAL, 180 MG | MYCOPHENOLIC ACID (DELAYED RELEASE) 360 MG | PO |
67877-0458-60 | None | CAPECITABINE, 150 MG, ORAL | CAPECITABINE (USP,FILM COATED) 150 MG | PO |
67877-0459-12 | None | CAPECITABINE, 500 MG, ORAL | CAPECITABINE (USP,FILM COATED) 500 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
B9006 RR | Parenteral nutrition unfusion pump, stationary | Day | N |
E0791 | Parenteral infusion pump, stationary, single or multichannel | Each | Y |
E0791 RR | Parenteral infusion pump, stationary, single or multichannel | Day | N |
B9998 | Extension tubing, male to male end, for use with ambulatory pump | Each | Y |
B4034 | Enteral feeding supply kit; syringe fed, per day | Each | N |
B4035 | Enteral feeding supply kit; pump fed | Each | N |
E2502 | Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than equal to 20 minutes recording time | Each | Y |
E2502 RR | Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than equal to 20 minutes recording time | Day | Y |
E2504 | Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time | Each | Y |
E2504 RR | Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time | Day | Y |
E2506 | Speech generating device, digitized, speech, using pre-recorded messages, greater than 40 minutes recording time | Each | Y |
E2506 RR | Speech generating device, digitized, speech, using pre-recorded messages, greater than 40 minutes recording time | Day | Y |
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