top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
65757-0403-03 | J1944 | INJECTION, ARIPIPRAZOLE LAUROXIL, (ARISTADA), 1 MG | ARISTADA 882 MG/3.2 ML | IM |
65757-0404-03 | J1942 | INJECTION, ARIPIPRAZOLE LAUROXIL, 1 MG | ARISTADA 1064 MG/3.9 ML | IM |
65757-0404-03 | J1944 | INJECTION, ARIPIPRAZOLE LAUROXIL, (ARISTADA), 1 MG | ARISTADA 1064 MG/3.9 ML | IM |
65757-0500-03 | J1942 | INJECTION, ARIPIPRAZOLE LAUROXIL, 1 MG | ARISTADA INITIO (LATEX-FREE) 675 MG/2.4 ML | IM |
63323-0385-10 | J3490 | UNCLASSIFIED DRUGS | CEFOTETAN 1 GM | IJ |
63323-0386-20 | J3490 | UNCLASSIFIED DRUGS | CEFOTETAN 2 GM | IJ |
63323-0387-10 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN SODIUM (VIAL) 250 MG | IJ |
63323-0388-10 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN SODIUM (VIAL) 500 MG | IJ |
63323-0389-10 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN SODIUM (VIAL) 1 GM | IJ |
63323-0393-06 | J0770 | INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG | COLISTIMETHATE (USP,LYOPHILIZED CAKE) 150 MG | IJ |
63323-0398-10 | J0456 | INJECTION, AZITHROMYCIN, 500 MG | AZITHROMYCIN (10X10ML,LATEX-FREE) 500 MG | IV |
63323-0398-12 | J0456 | INJECTION, AZITHROMYCIN, 500 MG | NOVAPLUS AZITHROMYCIN (10X10ML) 500 MG | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A7044 | Oral interface used with positive airway pressure device, each | Each | Y |
A7045 | Exhalation port with or without swivel used with accessories for positive airway devices, replacement only | Each | N |
A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | Each | N |
A7047 | Oral interface used with respiratory suction pump, each | Each | N |
A7501 | Tracheostoma valve, including diaphragm, each | Each | N |
A7502 | Replacement diaphragm/faceplate for tracheostoma valve, each | Each | N |
A7503 | Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each | Each | N |
A7504 | Filter for use in a tracheostoma heat and moisture exchange system, each | Each | N |
A7505 | Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each | Each | N |
A7506 | Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type, each | Each | N |
A7508 | Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/ or with a tracheostoma valve, each | Each | N |
A7509 | Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each | Each | N |
bottom of page