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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
63323-0942-05 | J2469 | INJECTION, PALONOSETRON HCL, 25 MCG | PALONOSETRON HCL (LATEX-FREE) 0.05 MG/1 ML | IV |
63323-0943-10 | J0330 | INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG | SUCCINYLCHOLINE CHLORIDE (25X10ML;MDV,LATEX-FREE) 20 MG/1 ML | IJ |
63323-0963-44 | J0132 | INJECTION, ACETYLCYSTEINE, 100 MG | PREMIERPRO RX ACETYLCYSTEINE (SDV,PF,LATEX-FREE) 200 MG/1 ML | IV |
63323-0965-05 | J3480 | INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ | POTASSIUM CHLORIDE CONCENTRATE (S.D.V.,P.C.) 2 MEQ/ML | IV |
63323-0965-10 | J3480 | INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ | POTASSIUM CHLORIDE CONCENTRATE (S.D.V.,P.C.) 2 MEQ/ML | IV |
63323-0965-20 | J3480 | INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ | POTASSIUM CHLORIDE CONCENTRATE (S.D.V.,P.C.) 2 MEQ/ML | IV |
63323-0966-00 | J3489 | INJECTION, ZOLEDRONIC ACID, 1 MG | ZOLEDRONIC ACID (SDV) 5 MG/100 ML | IV |
63323-0967-30 | J3480 | INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ | POTASSIUM CHLORIDE CONCENTRATE (M.D.V.,P.C.) 2 MEQ/ML | IV |
66215-0402-01 | J1325 | INJECTION, EPOPROSTENOL, 0.5 MG | VELETRI (SINGLE DOSE,LYOPHILIZED) 1.5 MG | IV |
66215-0403-01 | J1325 | INJECTION, EPOPROSTENOL, 0.5 MG | VELETRI (SINGLE DOSE,LYOPHILIZED) 0.5 MG | IV |
66220-0110-01 | J1190 | INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG | TOTECT (LYOPHILIZED) 500 MG | IV |
66220-0315-22 | J3095 | INJECTION, TELEVANCIN, 10 MG | VIBATIV (SDV,PF,LYOPHILIZED) 750 MG | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
T4521 | Adult size disposable incontinence product, brief/diaper, small | Each | N |
T4521 U1 | Adult size disposable incontinence product, brief/diaper, small, extra absorbent | Each | N |
T4522 | Adult size disposable incontinence product, brief/diaper, medium | Each | N |
T4522 U1 | Adult size disposable incontinence product, brief/diaper, medium, extra absorbent | Each | N |
T4523 | Adult size disposable incontinence product, brief/diaper, large | Each | N |
T4523 U1 | Adult size disposable incontinence product, brief/diaper, large, extra absorbent | Each | N |
T4524 | Adult size disposable incontinence product, brief/diaper, extra large, extra absorbent | Each | N |
T4525 | Adult size disposable incontinence product, protective underwear/pull-on, small | Each | N |
T4526 | Adult size disposable incontinence product, protective underwear/pull-on, medium | Each | N |
T4527 | Adult size disposable incontinence product, protective underwear/pull-on, large | Each | N |
T4528 | Adult size disposable incontinence product, protective underwear/pull-on, extra large | Each | N |
T4529 | Pediatric sized disposable incontinence product, brief/diaper, small or medium, extra absorbent | Each | N |
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