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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
64679-0764-01 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 1 MG/1 ML | IJ |
64679-0764-02 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 1 MG/1 ML | IJ |
64679-0764-03 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 1 MG/1 ML | IJ |
64679-0764-04 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 1 MG/1 ML | IJ |
64679-0765-01 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 5 MG/1 ML | IJ |
64679-0765-02 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 5 MG/1 ML | IJ |
64679-0765-03 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 5 MG/1 ML | IJ |
64679-0765-04 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM (SDV,PF) 5 MG/1 ML | IJ |
64679-0780-01 | J0282 | INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG | AMIODARONE HCL 50 MG/1 ML | IV |
64679-0794-01 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | IMATINIB MESYLATE (FILM COATED) 400 MG | PO |
64679-0794-02 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | IMATINIB MESYLATE (FILM COATED) 400 MG | PO |
64679-0794-03 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | IMATINIB MESYLATE (FILM COATED) 400 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A6218 | Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing | Each | Y |
A6219 | Gauze, non-impregnated, pad size 16 sq. in. or less, with any size adhesive border, each dressing | Each | N |
A6220 | Gauze, non-impregnated, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | Each | N |
A6221 | Gauze, non-impregnated, pad size more than 48 sq. in., with any size adhesive border, each dressing | Each | Y |
A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, pad size 16 sq. in. or less, without adhesive border, each dressing | Each | N |
A6223 | Gauze, impregnated with other than water, normal saline, or hydrogel, pad size 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | Each | N |
A6224 | Gauze, impregnated with other than water, normal saline, or hydrogel, pad size more than 48 sq. in., without adhesive border, each dressing | Each | N |
A6228 | Gauze, impregnated, water or normal saline, pad size 16 sq. in. or less, without adhesive border, each dressing | Each | Y |
A6229 | Gauze, impregnated, water or normal saline, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | Each | N |
A6230 | Gauze, impregnated, water or normal saline, pad size more than 48 sq. in., without adhesive border, each dressing | Each | Y |
A6231 | Gauze, impregnated, hydrogel, for direct wound contact, pad size 16 sq. in. or less, each dressing | Each | N |
A6232 | Gauze, impregnated, hydrogel, for direct wound contact, pad size greater than 16 sq. in. but less than or equal to 48 sq.in., each dressing | Each | N |
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