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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
63874-0712-12 | 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 6.25 MG/5 ML | PO |
63874-0806-12 | J8498 | ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED | PROCHLORPERAZINE 25 MG | RC |
64011-0247-02 | J1726 | INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG | MAKENA 250 MG/1 ML | IM |
64011-0247-02 | Q9986 | INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG | MAKENA 250 MG/1 ML | IM |
64011-0301-03 | J1726 | INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG | MAKENA (PF) 275 MG/1.1 ML | SC |
64019-0750-85 | J1230 | INJECTION, METHADONE HCL, UP TO 10 MG | METHADONE HCL | NA |
64019-0750-88 | J1230 | INJECTION, METHADONE HCL, UP TO 10 MG | METHADONE HCL | NA |
64208-8234-02 | J1557 | INJECTION, IMMUNE GLOBULIN (GAMMAPLEX), INTRAVENOUS, NONLYOPHILIZED ( E.G., LIQUID) 500 MG | GAMMAPLEX (1X100ML,SINGLE USE) 5 GM/ 100 ML | IV |
64208-8234-03 | J1557 | INJECTION, IMMUNE GLOBULIN (GAMMAPLEX), INTRAVENOUS, NONLYOPHILIZED ( E.G., LIQUID) 500 MG | GAMMAPLEX (1X200ML,SINGLE USE) 10 GM/ 200 ML | IV |
64208-8234-06 | J1557 | INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | GAMMAPLEX (1X100ML,SINGLE USE) 5 GM/100ML | IV |
64208-8234-07 | J1557 | INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | GAMMAPLEX (1X200ML,SINGLE USE) 10 GM/200ML | IV |
64208-8235-01 | J1557 | INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | GAMMAPLEX 10% (INNER PACK NDC,PF) 100 MG/1 ML | 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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