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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
73480-0150-04 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | DIPHEN (USP,CINNAMON/ANISE) 12.5 MG/5 ML | PO |
73594-9310-01 | J1437 | INJECTION, FERRIC DERISOMALTOSE, 10 MG | MONOFERRIC 100 MG/1 ML | IV |
73606-0010-01 | J2781 | INJECTION, PEGCETACOPLAN, INTRAVITREAL, 1 MG | EMPAVELI 54 MG/1 ML | SC |
73606-0020-01 | J2781 | INJECTION, PEGCETACOPLAN, INTRAVITREAL, 1 MG | SYFOVRE (PF) 15 MG/0.1 ML | IO |
73650-0316-01 | J9381 | INJECTION, TEPLIZUMAB-MZWV, 5 MCG | TZIELD (SDV,PF) 1 MG/1 ML | IV |
73650-0316-10 | J9381 | INJECTION, TEPLIZUMAB-MZWV, 5 MCG | TZIELD (SDV,PF) 1 MG/1 ML | IV |
73650-0316-14 | J9381 | INJECTION, TEPLIZUMAB-MZWV, 5 MCG | TZIELD (SDV,PF) 1 MG/1 ML | IV |
74527-0022-02 | J9353 | INJECTION, MARGETUXIMAB-CMKB, 5 MG | MARGENZA (SDV,PF) 25 MG/1 ML | IV |
74527-0022-03 | J9353 | INJECTION, MARGETUXIMAB-CMKB, 5 MG | MARGENZA (SDV,PF) 25 MG/1 ML | IV |
74676-5902-01 | J3315 | INJECTION, TRIPTORELIN PAMOATE, 3.75 MG | TRELSTAR (W/MIXJECT SYSTEM) 3.75 MG | IM |
74676-5904-01 | J3315 | INJECTION, TRIPTORELIN PAMOATE, 3.75 MG | TRELSTAR (W/MIXJECT SYSTEM) 11.25 MG | IM |
74676-5906-01 | J3315 | INJECTION, TRIPTORELIN PAMOATE, 3.75 MG | TRELSTAR (W/MIXJECT SYSTEM) 22.5 MG | IM |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2365 U1 | Power Wheel Chair Accessory, U-1 Sealed Lead Acid Battery (E.G. Gel Cell, Absorbed Glassmat) (For use only with Group 3 and above) | Each | Y |
E2366 | Power Wheel Chair Accessory, Battery Charger, Single Mode, For Use With Only One Battery Type, Sealed Or Non-Sealed, Each , Replacement only | Each | Y |
E2366 RR | Power Wheel Chair Accessory, Battery Charger, Single Mode, For Use With Only One Battery Type, Sealed Or Non-Sealed, Each , Replacement only | Day | Y |
E2366 U1 | Power Wheel Chair Accessory, Battery Charger, Single Mode, For Use With Only One Battery Type, Sealed Or Non-Sealed, Each , Replacement only (For use only with Group 3 and above) | Each | Y |
E2367 | Power Wheel Chair Accessory, Battery Charger, Dual Mode, For Use With Either Battery Type, Sealed Or Non-Sealed, Each, Replacement only | Each | Y |
E2367 RR | Power Wheel Chair Accessory, Battery Charger, Dual Mode, For Use With Either Battery Type, Sealed Or Non-Sealed, Each, Replacement only | Day | Y |
E2367 U1 | Power Wheel Chair Accessory, Battery Charger, Dual Mode, For Use With Either Battery Type, Sealed Or Non-Sealed, Each, Replacement only (For use only with Group 3 and above) | Each | Y |
E2368 | Power Wheelchair Component, drive wheel motor, replacement only | Each | Y |
E2368 U1 | Power Wheelchair Component, drive wheel motor, replacement only (For use only with Group 3 and above) | Each | Y |
E2369 | Power Wheelchair Component, drive wheel, gear box, replacement only | Each | Y |
E2369 U1 | Power Wheelchair Component, drive wheel, gear box, replacement only (For use only with Group 3 and above) | Each | Y |
E2370 | Power Wheelchair Component, integrated drive wheel motor and gear box combination,replacement only | Each | Y |
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