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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68180-0862-11 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 500 MG | PO |
68180-0863-06 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 600 MG | PO |
68180-0962-56 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (4 AMPULES X 14 POUCHES) 300 MG/5 ML | IH |
68180-0962-56 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (4 AMPULES X 14 POUCHES) 300 MG/5 ML | IH |
68180-0984-30 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML | IH |
68180-0984-30 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML | IH |
68330-0001-01 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 250 MG | IJ |
68330-0001-10 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 250 MG | IJ |
68330-0002-01 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 500 MG | IJ |
68330-0002-10 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 500 MG | IJ |
68330-0003-01 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 1 GM | IJ |
68330-0003-10 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 1 GM | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0182 | Pump for alternating pressure pad, for replacement only | Each | N |
E0182 RR | Pump for alternating pressure pad, for replacement only | Day | N |
E0183 | Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty | Each | Y |
E0183 RR | Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty | Day | Y |
E0184 | Dry pressure mattress | Each | N |
E0184 RR | Dry pressure mattress | Day | N |
E0185 | Gel or gel-like pressure Pad for mattress, standard mattress length & width | Each | N |
E0185 RR | Gel or gel-like pressure Pad for mattress, standard mattress length & width Rental | Day | N |
E0186 | Air Pressure Mattress | Each | N |
E0186 RR | Air Pressure Mattress | Day | N |
E0187 | Water Pressure Mattress | Each | N |
E0187 RR | Water Pressure Mattress | Day | N |
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