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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
61553-0712-68 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HYDROCHLORIDE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 1.2 MG/ML-0.9% | IV |
61553-0730-68 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 25 MCG/ML-0.9% | IV |
61553-0732-03 | J2590 | INJECTION, OXYTOCIN, UP TO 10 UNITS | OXYTOCIN-SODIUM CHLORIDE (12X500ML, VIAFLEX BAG) 10 U-0.9% | IV |
61553-0780-68 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HYDROCHLORIDE (10X30ML, PCA VIAL) 2 MG/ML | IV |
61553-0791-68 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 10 MCG/ML-0.9% | IV |
61553-0792-68 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 20 MCG/ML-0.9% | IV |
61553-0793-68 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 30 MCG/ML-0.9% | IV |
61553-0794-68 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE-SODIUM CHLORIDE (10X30ML, PCA VIAL) 40 MCG/ML-0.9% | IV |
61553-0795-68 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE (10X30ML, PCA VIAL) 50 MCG/ML | IV |
61553-0915-04 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | HEPARIN SODIUM-SODIUM CHLORIDE (VIAFLEX BAG,LATEX-FREE) 1000 U/1000 ML-0.9% | IV |
61570-0079-01 | Q0173 | TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 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 | TIGAN 300 MG | PO |
61570-0260-10 | J2770 | INJECTION, QUINUPRISTIN/DALFOPRISTIN, 500 MG (150/350) | SYNERCID (PF) 350 MG-150 MG | 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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