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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
66105-0832-01
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
NOLVADEX 10 MG
PO
66105-0832-03
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
NOLVADEX 10 MG
PO
66105-0832-06
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
NOLVADEX 10 MG
PO
66105-0832-09
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
NOLVADEX 10 MG
PO
66105-0832-10
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
NOLVADEX 10 MG
PO
66215-0401-01
J1325
INJECTION, EPOPROSTENOL, 0.5 MG
EPOPROSTENOL (SINGLE DOSE,LYOPHILIZED) 1.5 MG
IV
64679-0739-02
J0282
INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG
AMIODARONE HCL 50 MG/1 ML
IV
64679-0739-04
J0282
INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG
AMIODARONE HCL 50 MG/1 ML
IV
64679-0760-01
J2550
INJECTION, PROMETHAZINE HCL, UP TO 50 MG
PROMETHAZINE HCL 25 MG/1 ML
IJ
64679-0760-02
J2550
INJECTION, PROMETHAZINE HCL, UP TO 50 MG
PROMETHAZINE HCL 25 MG/1 ML
IJ
64679-0760-03
J2550
INJECTION, PROMETHAZINE HCL, UP TO 50 MG
PROMETHAZINE HCL 25 MG/1 ML
IJ
64679-0760-04
J2550
INJECTION, PROMETHAZINE HCL, UP TO 50 MG
PROMETHAZINE HCL 25 MG/1 ML
IJ
HCPCS Code
Description
Billing Unit
SA Type
E0466
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
Each
Y
E0466 RR
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
Day
Y
E0467
Home Ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions
Each
Y
E0467 RR
Home Ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions
Day
Y
E0455
Oxygen Tent, Excluding Croup Or Pediatric Tents
Each
N
E0457
Chest shell (cuirass)
Each
Y
E0457 RR
Chest shell (cuirass)
Day
Y
E0460
Negative pressure ventilator, portable or stationary
Each
Y
E0460 RR
Negative pressure ventilator, portable or stationary
Day
N
E0461 RR
Volume ventilator, stationary or portable, with backup rate feature, used with non-invasive interface
Each
Y
E0470
Respiratory Assist Device, bi-level pressure capability, w/out backup rate feature, used w/noninvasive interface e.g. nasal or facial mask.
Each
Y
E0470 RR
Respiratory Assist Device, bi-level pressure capability, w/out backup rate feature, used w/noninvasive interface e.g. nasal or facial mask.
Day
Y
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