top of page

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 |
bottom of page
