top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
63304-0458-30 | 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 HYDROCHLORIDE (FILM-COATED) 4 MG | PO |
63304-0459-30 | 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 HYDROCHLORIDE (FILM-COATED) 8 MG | PO |
63304-0504-01 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 400 MG | PO |
63304-0505-01 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 800 MG | PO |
63304-0652-01 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 200 MG | PO |
63304-0652-05 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 200 MG | PO |
63323-0010-02 | J1580 | INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG | GENTAMICIN SULFATE (M.D.V.) 40 MG/ML | IJ |
63323-0010-20 | J1580 | INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG | GENTAMICIN SULFATE (M.D.V.) 40 MG/ML | IJ |
63323-0011-15 | J0720 | INJECTION, CHLORAMPHENICOL SODIUM SUCCINATE, UP TO 1 GM | CHLORAMPHENICOL SODIUM SUCCINATE (VIAL,PF) 1 GM | IV |
63323-0012-01 | J2590 | INJECTION, OXYTOCIN, UP TO 10 UNITS | OXYTOCIN (VIAL,P.C.) 10 U/ML | IV |
63323-0012-07 | J2590 | INJECTION, OXYTOCIN, UP TO 10 UNITS | OXYTOCIN NOVAPLUS (25X1ML,USP) 10 U/1 ML | IJ |
63323-0012-10 | J2590 | INJECTION, OXYTOCIN, UP TO 10 UNITS | OXYTOCIN (M.D.V.) 10 U/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 |
bottom of page
