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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
76045-0023-30 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | SIMPLIST GLYCOPYRROLATE (PF,LATEX-FREE) 0.2 MG/1 ML | IJ |
76045-0109-10 | J1100 | INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG | SIMPLIST DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/1 ML | IJ |
76045-0203-10 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | SIMPLIST GLYCOPYRROLATE (PF) 0.2 MG/1 ML | IJ |
76045-0203-10 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | SIMPLIST GLYCOPYRROLATE (PF) 0.2 MG/1 ML | IJ |
76045-0203-20 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | SIMPLIST GLYCOPYRROLATE (PF) 0.2 MG/1 ML | IJ |
76045-0203-20 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | SIMPLIST GLYCOPYRROLATE (PF) 0.2 MG/1 ML | IJ |
76045-0204-20 | J3360 | INJECTION, DIAZEPAM, UP TO 5 MG | SIMPLIST DIAZEPAM (24X2ML,SDS,LATEX-FREE) 5 MG/1 ML | IJ |
76045-0206-10 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | SIMPLIST GLYCOPYRROLATE (24X1ML;RFID,PF) 0.2 MG/1 ML | IJ |
76045-0206-10 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | SIMPLIST GLYCOPYRROLATE (24X1ML;RFID,PF) 0.2 MG/1 ML | IJ |
76045-0209-10 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | SIMPLIST KETOROLAC TROMETHAMINE (RFID;24X1ML) 30 MG/1 ML | IJ |
76045-0383-30 | J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | SIMPLIST NEOSTIGMINE METHYLSULFATE 1 MG/1 ML | IV |
76045-0737-10 | J1630 | INJECTION, HALOPERIDOL, UP TO 5 MG | SIMPLIST HALOPERIDOL (24X1ML;USP;SD) 5 MG/1 ML | IM |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E1086 RR | Hemi Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable Footrests | Day | N |
K0002 | Standard Hemi (Low Seat) Wheelchair | Each | Y |
K0002 RR | Standard Hemi (Low Seat) Wheelchair | Day | N |
E1087 | High Strength Light Weight Wheelchair, Fixed Full Length Arms, Swing Away, Detachable, Elevating Legrests | Each | N |
E1087 RR | High Strength Light Weight Wheelchair, Fixed Full Length Arms, Swing Away, Detachable, Elevating Legrests | Day | N |
E1088 | High Strength Light Weight Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable, Elevating Legrests | Each | N |
E1088 RR | High Strength Light Weight Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable, Elevating Leg Rests | Day | N |
E1089 | High Strength Light Weight Wheelchair, Fixed Length Arms, Swing Away, Detachable Footrests | Each | N |
E1089 RR | High Strength Light Weight Wheelchair, Fixed Length Arms, Swing Away, Detachable Footrests | Day | N |
E1090 | High Strength Light Weight Wheelchair, Detachable Arms Desk Or Full Length, Swing Away, Detachable Footrests | Each | N |
E1090 RR | High Strength Light Weight Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable Foot Rests | Day | N |
E1092 | Wide Heavy Duty Wheelchair, Detachable Arms Desk Or Full Length, Swing Away, Detachable, Elevating Leg Rests | Each | N |
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