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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
67877-0540-14 | None | TEMOZOLOMIDE, 20 MG, ORAL | TEMOZOLOMIDE 140 MG | PO |
67877-0541-07 | None | TEMOZOLOMIDE, 20 MG, ORAL | TEMOZOLOMIDE 180 MG | PO |
67877-0541-14 | None | TEMOZOLOMIDE, 20 MG, ORAL | TEMOZOLOMIDE 180 MG | PO |
67877-0542-07 | None | TEMOZOLOMIDE, 250 MG, ORAL | TEMOZOLOMIDE 250 MG | PO |
67877-0568-60 | Q0167 | DRONABINOL, 2.5 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 | DRONABINOL (SOFT GELATIN) 2.5 MG | PO |
67877-0569-60 | Q0167 | DRONABINOL, 2.5 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 | DRONABINOL (SOFT GELATIN) 5 MG | PO |
67877-0570-60 | Q0167 | DRONABINOL, 2.5 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 | DRONABINOL (SOFT GELATIN) 10 MG | PO |
67877-0634-30 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | IMATINIB MESYLATE (FILM COATED) 400 MG | PO |
67877-0678-70 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (7X8, USP,PF) 300 MG/5 ML | IH |
67877-0678-70 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (7X8, USP,PF) 300 MG/5 ML | IH |
65219-0006-01 | J3480 | INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ | POTASSIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 20 MEQ/100 ML | IV |
65219-0008-51 | J3480 | INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ | POTASSIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 20 MEQ/50 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0189 RR | Lambswool sheepskin pad, any size | Day | N |
E0191 | Heel or elbow proctector, each | Each | N |
E0191 RR | Heel or elbow protector, each | Each | N |
E0231 RR | Non-contact wound warming wound device (temperature control unit, AC adapter and power cord) for use with warming card and wound cover | Day | Y |
E0232 RR | Warming card for use with non-contact wound warming device and non-contact wound warming wound cover | Day | Y |
E2402 RR | Negative pressure wound therapy electical pump, stationary or portable | Day | Y |
A6550 | Dressing set for negative pressure wound therapy electrical pump, stationary or portable, each | Each | Y |
A7000 | Cannister set for negative pressure wound therapy electrical pump, stationary or portable, each | Each | Y |
A9276 | Sensor; invasive (e.g. Subcutaneous), disposable, for use with interstitial continuous glucose monitoring system, one unit = 1 sensor this code is not billed per day | Each | Y |
A9277 | Transmitter; external, for use with interstitial continuous glucose monitoring system | Each | Y |
A9277 RR | Transmitter; external, for use with interstitial continuous glucose monitoring system (Pregnant individuals with Type 1 or Type 2 diabetes) | Day | Y |
A9278 | Receiver (monitor); external, for use with interstitial continuous glucose monitoring system | Each | Y |
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