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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
73070-0103-15 | J1817 | INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS | INSULIN ASPART FLEXPEN 100 U/1 ML | IJ |
73070-0200-11 | J1815 | INJECTION, INSULIN, PER 5 UNITS | INSULIN ASPART PROTAMINE-INSULIN ASPART 70 U/1 ML-30 U/1 ML | SC |
73070-0203-15 | J1815 | INJECTION, INSULIN, PER 5 UNITS | INSULIN ASPART PROTAMINE-INSULIN ASPART FLEXPEN 70 U/1 ML-30 U/1 ML | SC |
73077-0010-01 | J0208 | INJECTION, SODIUM THIOSULFATE, 100 MG | PEDMARK (PF) 125 MG/1 ML | IV |
73150-0150-06 | J2329 | INJECTION, UBLITUXIMAB-XIIY, 1MG | BRIUMVI (SDV) 150 MG/6 ML | IV |
73289-0060-01 | J7606 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS | FORMOTEROL FUMARATE (30X2ML) 20 MCG/2 ML | IH |
73289-0060-01 | J7606 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS | FORMOTEROL FUMARATE (30X2ML) 20 MCG/2 ML | IH |
73289-0060-02 | J7606 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS | FORMOTEROL FUMARATE (60X2ML) 20 MCG/2 ML | IH |
73289-0060-02 | J7606 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS | FORMOTEROL FUMARATE (60X2ML) 20 MCG/2 ML | IH |
73358-0210-08 | J9171 | INJECTION, DOCETAXEL, 1 MG | DOCETAXEL (MDV,LATEX-FREE) 10 MG/1 ML | IV |
73358-0210-16 | J9171 | INJECTION, DOCETAXEL, 1 MG | DOCETAXEL (MDV,LATEX-FREE) 10 MG/1 ML | IV |
73380-4700-01 | J9313 | INJECTION, MOXETUMOMAB PASUDOTOX-TDFK, 0.01 MG | LUMOXITI (PF,LATEX-FREE) 1 MG | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2361 RR | Power Wheel Chair Accessory, 22 Nf Sealed Lead Acid Battery, Each (E.G. Gel Cell, Absorbed Glassmat) | Day | N |
E2361 U1 | Power Wheel Chair Accessory, 22 Nf Sealed Lead Acid Battery, Each (E.G. Gel Cell, Absorbed Glassmat) (For use with only Group 3 and above) | Each | Y |
E2362 | Power Wheel Chair Accessory, Group 24 Non-Sealed Lead Acid Battery, Each | Each | N |
E2362 RR | Power Wheel Chair Accessory, Group 24 Non-Sealed Lead Acid Battery, Each | Day | N |
E2363 | Power Wheel Chair Accessory, Group 24 Sealed Lead Acid Battery, Each (E.G. Gel Cell, Absorbed Glassmat) | Each | N |
E2363 RR | Power Wheel Chair Accessory, Group 24 Sealed Lead Acid Battery, Each (E.G. Gel Cell, Absorbed Glassmat) | Day | N |
E2363 U1 | Power Wheel Chair Accessory, Group 24 Sealed Lead Acid Battery, Each (E.G. Gel Cell, Absorbed Glassmat) (For use with Group 3 and above only) | Each | Y |
E2364 | Power Wheel Chair Accessory, U-1 Non-Sealed Lead Acid Battery Each | Each | N |
E2364 RR | Power Wheel Chair Accessory, U-1 Non-Sealed Lead Acid Battery Each | Day | N |
E2364 U1 | Power Wheel Chair Accessory, U-1 Non-Sealed Lead Acid Battery Each | Each | Y |
E2365 | Power Wheel Chair Accessory, U-1 Sealed Lead Acid Battery (E.G. Gel Cell, Absorbed Glassmat) | Each | N |
E2365 RR | Power Wheel Chair Accessory, U-1 Sealed Lead Acid Battery (E.G. Gel Cell, Absorbed Glassmat) | Day | N |
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