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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
65219-0433-15 | J3490 | UNCLASSIFIED DRUGS | PANTOPRAZOLE SODIUM (SDV,PF,LATEX-FREE) 40 MG | IV |
65219-0470-30 | J7040 | INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT) | SODIUM CHLORIDE (FREEFLEX BAG,PF) 0.9% | IV |
65219-0472-20 | J7050 | INFUSION, NORMAL SALINE SOLUTION, 250 CC | SODIUM CHLORIDE (SDB,FREEFLEX BAG) 0.9% | IV |
65219-0474-10 | J7030 | INFUSION, NORMAL SALINE SOLUTION , 1000 CC | SODIUM CHLORIDE (SDB,FREEFLEX BAG) 0.9% | IV |
64208-8235-03 | J1557 | INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | GAMMAPLEX 10% (INNER PACK NDC,PF) 100 MG/1 ML | IV |
64208-8235-05 | J1557 | INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | GAMMAPLEX 10% (PF,LATEX-FREE) 100 MG/1 ML | IV |
64208-8235-06 | J1557 | INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | GAMMAPLEX 10% (PF,LATEX-FREE) 100 MG/1 ML | IV |
64208-8235-07 | J1557 | INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | GAMMAPLEX 10% (PF,LATEX-FREE) 100 MG/1 ML | IV |
64253-0020-30 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | STERILE WATER FOR INJECTION (60X10ML;USP) | IJ |
64253-0111-23 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9% | IV |
64253-0111-30 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | NORMAL SALINE FLUSH (SRN W/LUER LOCK,PF) 0.9% | IV |
64253-0111-35 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | NORMAL SALINE FLUSH (SRN,12 ML W/LUER LOK,PF) 0.9% | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | Each | N |
A7006 | Administration set, with small volume filter pneumatic nebulizer | Each | N |
A7007 | Large voume nebulizer, disposable, unfilled, used with aerosol compressor | Each | N |
A7008 | Large volume nebulizer, disposable, Prefilled, used with aerosol compressor | Each | N |
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