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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
67457-0922-30 | J3490 | UNCLASSIFIED DRUGS | SULFAMETHOXAZOLE/TRIMETHOPRIM NOVAPLUS 80 MG/1 ML-16 MG/1 ML | IV |
67457-0928-02 | J9120 | INJECTION, DACTINOMYCIN, 0.5 MG | DACTINOMYCIN NOVAPLUS (SDV,LYOPHILIZED) 0.5 MG | IV |
67457-0948-01 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | PREMIERPRO RX HEPARIN SODIUM (25X1ML) 1000 U/1 ML | IJ |
67457-0949-01 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | PREMIERPRO RX HEPARIN SODIUM 5000 U/1 ML | IJ |
67457-0950-01 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | PREMIERPRO RX HEPARIN SODIUM (SDV) 10000 U/1 ML | IJ |
68001-0542-60 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN (25X1ML,MDV,LATEX-FREE) 1000 MCG/1 ML | IJ |
68001-0543-41 | J9305 | INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG | PEMETREXED (SDV,LATEX-FREE) 100 MG | IV |
68001-0543-41 | J9322 | INJECTION, PEMETREXED (BLUEPOINT) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG | PEMETREXED (SDV,LATEX-FREE) 100 MG | IV |
68001-0544-41 | J9305 | INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG | PEMETREXED (SDV,LATEX-FREE) 500 MG | IV |
68001-0544-41 | J9322 | INJECTION, PEMETREXED (BLUEPOINT) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG | PEMETREXED (SDV,LATEX-FREE) 500 MG | IV |
68001-0557-00 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 4 MG | PO |
68001-0558-55 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 8 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A4348 | Male external catheter with integral collection compartment, extended wear | Each | N |
A4351 | Intermittent urinary catheter, straight tip, with or without coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | Each | N |
A4352 | Intermittent urinary catheter, coude (curved) tip, with or without coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | Each | N |
A4353 | Intermittent urinary catheter, with insertion supplies | Each | N |
A4354 | Insertion tray with drainage bag but without catheter | Each | N |
A4355 | Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each | Each | N |
A4356 | External urethral clamp or compression device (not to be used for catheter clamp), each | Each | N |
A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | Each | N |
A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | Each | N |
A5102 | Bedside drainage bottle, with or without tubing, rigid or expandable, each | Each | N |
A5105 | Urinary suspensory; with or without leg bag, with or without tube, each | Each | N |
A5112 | Urinary leg bag, latex | Each | N |
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