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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
70377-0015-11
J7507
TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG
TACROLIMUS (USP,GLUTEN-FREE) 1 MG
PO
70377-0016-11
J7507
TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG
TACROLIMUS (USP,GLUTEN-FREE) 5 MG
PO
70377-0039-11
J7518
MYCOPHENOLIC ACID, ORAL, 180 MG
MYCOPHENOLIC ACID (GLUTEN-FREE,FILM-COATED) 180 MG
PO
70377-0040-11
J7518
MYCOPHENOLIC ACID, ORAL, 180 MG
MYCOPHENOLIC ACID (GLUTEN-FREE,FILM-COATED) 360 MG
PO
70436-0007-04
J0604
CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS)
CINACALCET HYDROCHLORIDE (FILM COATED) 30 MG
PO
70436-0008-04
J0604
CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS)
CINACALCET HYDROCHLORIDE (FILM COATED) 60 MG
PO
70436-0009-04
J0604
CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS)
CINACALCET HYDROCHLORIDE (FILM COATED) 90 MG
PO
70436-0019-82
J0456
INJECTION, AZITHROMYCIN, 500 MG
AZITHROMYCIN (LYOPHILIZED) 500 MG
IV
70436-0020-82
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
VANCOMYCIN HCL (LYOPHILIZED) 500 MG
IV
70436-0021-82
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
VANCOMYCIN HCL (USP;STERILE,LYOPHILIZED) 1 GM
IV
67457-0951-01
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
PREMIERPRO RX HEPARIN SODIUM (LATEX-FREE) 20000 U/1 ML
IJ
67457-0953-10
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
PREMIERPRO RX HEPARIN SODIUM (25X10ML) 1000 U/1 ML
IJ
HCPCS Code
Description
Billing Unit
SA Type
E0110
Crutches, Forearm, Includes Crutches of Various Materials, Adjustable Or Fixed; pair, complete w/tips and handgrip
Pair
N
E0111
Crutch Forearm, Includes Crutches of Various Material, Adj. Or Fixed, with tip and handgrip
Each
N
E0112
Crutches Underarm, Wood, Adjustable Or Fixed, With Pads, Tips, and handgrips
Pair
N
E0113
Crutch Underarm, Wood, Adj. Or Fixed W/Pad, tips And Handgrip
Each
N
E0114
Crutches Underarm, other than wood Adjustable Or Fixed, Pair W/Pads, tips and handgrip
Pair
N
E0116
Crutch Underarm, other than wood Adj. Or Fixed; w/pad, tip and handgrips
Each
N
E0117
Crutch, underarm, articulating, spring assisted, each
Each
N
E0118
Crutch substitute, lower leg platform, with or without wheels, each
Each
Y
E0110 RR
Crutches, Forearm, Includes Crutches of Various Materials, Adjustable Or Fixed; pair, complete w/tips and handgrip
Day
N
E0112 RR
Crutches Underarm, Wood, Adjustable Or Fixed, With Pads, Tips, and handgrips
Day
N
E0111 RR
Crutch Forearm, Includes Crutches of Various Material, Adj. Or Fixed, with tip and handgrip
Day
N
E0113 RR
Crutch Underarm, Wood, Adj. Or Fixed W/Pad, tips And Handgrip
Day
N
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