top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
61990-0411-02 | J1110 | INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG | DIHYDROERGOTAMINE MESYLATE 1 MG/1 ML | IJ |
62064-0122-02 | J1746 | INJECTION, IBALIZUMAB-UIYK, 10 MG | TROGARZO (PF) 150 MG/1 ML | IV |
62064-0122-02 | J3490 | UNCLASSIFIED DRUGS | TROGARZO (PF) 150 MG/1 ML | IV |
62135-0019-50 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 800 MG | PO |
62135-0039-50 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR (HARD-GELATIN) 200 MG | PO |
62135-0114-37 | J8540 | DEXAMETHASONE, ORAL, 0.25 MG | DEXAMETHASONE (CHERRY) 0.5 MG/5 ML | PO |
62135-0121-30 | Q0162 | ONDANSETRON 1 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 | ONDANSETRON (STRAWBERRY) 4 MG | PO |
62135-0122-30 | Q0162 | ONDANSETRON 1 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 | ONDANSETRON (STRAWBERRY) 8 MG | PO |
62135-0250-37 | J7510 | PREDNISOLONE ORAL, PER 5 MG | PREDNISOLONE (WILD CHERRY) 15 MG/5 ML | PO |
62135-0250-47 | J7510 | PREDNISOLONE ORAL, PER 5 MG | PREDNISOLONE (WILD CHERRY) 15 MG/5 ML | PO |
62135-0330-41 | J7510 | PREDNISOLONE ORAL, PER 5 MG | PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 5 MG/5 ML | PO |
62135-0350-05 | Q0162 | ONDANSETRON 1 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 | ONDANSETRON (FILM-COATED) 4 MG | PO |
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 |
bottom of page