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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
66267-0173-40 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE 5 MG | PO |
66267-0173-42 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE 5 MG | PO |
66267-0173-60 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE 5 MG | PO |
66267-0208-10 | Q0173 | TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 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 | TRIMETHOBENZAMIDE HCL 250 MG | PO |
66267-0208-20 | Q0173 | TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 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 | TRIMETHOBENZAMIDE HCL 250 MG | PO |
66267-0399-30 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 800 MG | PO |
66267-0928-06 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | ZITHROMAX 250 MG | PO |
66267-0948-21 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE (DOSEPACK) 5 MG | PO |
66267-0961-21 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 4 MG | PO |
66267-0977-04 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | DIPHENHYDRAMINE HCL 12.5 MG/5 ML | PO |
66288-1100-01 | J0690 | INJECTION, CEFAZOLIN SODIUM, 500 MG | CEFAZOLIN SODIUM 100 GM | IJ |
66288-1300-01 | J0690 | INJECTION, CEFAZOLIN SODIUM, 500 MG | CEFAZOLIN SODIUM 300 GM | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0157 | Crutch Attachment, Walker | Each | N |
E0157 RR | Crutch Attachment, Walker | Day | N |
E0158 | Leg Extension For Walker | Set of 4 | N |
E0158 RR | Leg Extension For Walker | Day | N |
E0159 | Brake Attachment for Wheeled Walker; replacement | Each | N |
E0159 RR | Brake Attachment for Wheeled Walker; replacement | Day | N |
E8000 | Gait Trainer, pediatric size, posterior support, includes all accessories and components | Each | Y |
E1902 | Communication board, non-electronic, augmentative or alternative communication device | Each | Y |
E2500 | Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time | Each | Y |
E2500 RR | Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time | Day | Y |
E0196 | Gel Pressure Mattress | Each | Y |
E0196 RR | Gel Pressure Mattress | Day | N |
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