WELCOME

NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
64980-0334-14	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE 20 MG	PO
64980-0335-05	None	TEMOZOLOMIDE, 100 MG, ORAL	TEMOZOLOMIDE 100 MG	PO
64980-0335-14	None	TEMOZOLOMIDE, 100 MG, ORAL	TEMOZOLOMIDE 100 MG	PO
64980-0336-05	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE 140 MG	PO
64980-0336-14	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE 140 MG	PO
64980-0337-05	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE 180 MG	PO
64980-0337-14	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE 180 MG	PO
64980-0338-05	None	TEMOZOLOMIDE, 250 MG, ORAL	TEMOZOLOMIDE 250 MG	PO
64980-0467-99	J1071	INJECTION, TESTOSTERONE CYPIONATE, 1 MG	TESTOSTERONE CYPIONATE (SDV) 200 MG/1 ML	IM
65162-0678-90	Q0169	PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN	PROMETHAZINE HCL (USP,BANANA FRUIT) 6.25 MG/5 ML	PO
65162-0801-14	None	TEMOZOLOMIDE, 5 MG, ORAL	TEMOZOLOMIDE 5MG	PO
65162-0801-51	None	TEMOZOLOMIDE, 5 MG, ORAL	TEMOZOLOMIDE 5MG	PO

HCPCS Code	Description	Billing Unit	SA Type
E 1405 RR	O2/Water Vapor Enriched System with Heated Delivery	Day	N
E 1406 RR	O2/Water Vapor Enriched System without Heated Delivery	Day	N
S8189	Aerosol Therapy (High Flow), Includes Regulator/Flowmeter, 50-PSI Compressor, Face Tents, Trach Collars, T-Tubes, Masks Or Swivel Adapters, Corrugated Tubing, Drainage Bags, With Or Without Heater.	Day	Y
S8189	CPAP/BiPAP Service/Maintenance Agreement	Each	Y
S8189	Croup Tent, Including Compressor, Tent	Each	Y
S8189	Disposable Tent, Croup Type	Each	Y
S8189	Germicide Disinfectant (1pt. Concentrate)	Each	Y
S8189	Miscellaneous Respiratory	Each	Y
S8189	Non-Disposable Pneumatic Nebulizer Administration Set	Each	Y
S8189	Oxygen Accumulator For Ventilator	Each	Y
S8189	Oxygen Water Trap	Each	Y
S8189	Peep Valve, Disposable	Each	Y