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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
67457-0602-99
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (MDV,25X1ML) 10000 U/1 ML
IJ
67457-0603-99
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (MDV,25X1ML) 10000 U/1 ML
IJ
67457-0616-10
J9201
INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG
GEMCITABINE (1X5.26ML) 38 MG/1 ML
IV
67457-0617-30
J9201
INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG
GEMCITABINE (1X26.3ML) 38 MG/1 ML
IV
67457-0618-10
J9201
INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG
GEMCITABINE 38 MG/1 ML
IV
67457-0619-10
J3489
INJECTION, ZOLEDRONIC ACID, 1 MG
ZOLEDRONIC ACID 5 MG/100 ML
IV
67457-0629-10
J1327
INJECTION, EPTIFIBATIDE, 5 MG
EPTIFIBATIDE (SDV) 2 MG/1 ML
IV
67457-0630-10
J1327
INJECTION, EPTIFIBATIDE, 5 MG
EPTIFIBATIDE (SDV) 2 MG/1 ML
IV
67457-0631-10
J1327
INJECTION, EPTIFIBATIDE, 5 MG
EPTIFIBATIDE 0.75 MG/1 ML
IV
67457-0640-02
J0780
INJECTION, PROCHLORPERAZINE, UP TO 10 MG
PROCHLORPERAZINE EDISYLATE 5 MG/1 ML
IJ
67457-0640-99
J0780
INJECTION, PROCHLORPERAZINE, UP TO 10 MG
PROCHLORPERAZINE EDISYLATE 5 MG/1 ML
IJ
67457-0645-02
J2310
INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG
NALOXONE HCL NOVAPLUS (10X1ML,SDV) 0.4 MG/1 ML
IJ
HCPCS Code
Description
Billing Unit
SA Type
A6443
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
Per Linear Yard
N
A6444
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to five inches, per yard
Per Linear Yard
N
A6445
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
Per Linear Yard
N
A6446
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
Per Linear Yard
N
A6447
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
Per Linear Yard
N
A6448
Light compression bandage, elastic, knitted/woven, width less than three inches
Per Yard
N
A6449
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
Per Yard
N
A6450
Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
Per Yard
Y
A6451
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50 percent maximum stretch, width greater than or equal to 3 in. and less than 5 in.
Per Yard
Y
A6452
High compression bandage, elastic, kitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50 percent maximum stretch, width greater than or equal to 3 in. and less than 5 in.
Per Yard
N
A6453
Self-adherent bandage, elastic, non-knitted/non-woven, width less than 3 in.
Per Yard
N
A6454
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to 3 in. and less than 5 in.
Per Yard
N
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