top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
55150-0386-01 | J9045 | INJECTION, CARBOPLATIN, 50 MG | CARBOPLATIN (MDV,PF,LATEX-FREE) 10 MG/1 ML | IV |
55150-0392-01 | J9036 | INJECTION, BENDAMUSTINE HYDROCHLORIDE, (BELRAPZO/BENDAMUSTINE), 1 MG | BENDAMUSTINE HYDROCHLORIDE (SDV,PF,LATEX-FREE) 100 MG | IV |
55150-0393-01 | J9025 | INJECTION, AZACITIDINE, 1 MG | AZACITIDINE (SDV,LATEX-FREE) 100 MG | IJ |
55150-0400-25 | J0360 | INJECTION, HYDRALAZINE HCL, UP TO 20 MG | HYDRALAZINE HCL (SDV;USP,LATEX-FREE) 20 MG/1 ML | IJ |
55150-0420-10 | J1805 | INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG | ESMOLOL HCL (SDC,PF,LATEX-FREE) 2500 MG/250 ML | IV |
55150-0421-10 | J1805 | INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG | ESMOLOL HCL (SDC,PF,LATEX-FREE) 2000 MG/100 ML | IV |
55150-0431-01 | J9120 | INJECTION, DACTINOMYCIN, 0.5 MG | DACTINOMYCIN (SDV,PF,LATEX-FREE) 0.5 MG | IV |
55150-0434-01 | J1190 | INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG | DEXRAZOXANE (SDV;W/DILUENT,PF) 250 MG | IV |
55150-0434-02 | J1190 | INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG | DEXRAZOXANE NOVAPLUS (SDV;W/DILUENT,PF) 250 MG | IV |
55150-0470-06 | J3260 | INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG | TOBRAMYCIN (PF,LATEX-FREE) 1.2 GM | IV |
55150-0928-02 | J9120 | INJECTION, DACTINOMYCIN, 0.5 MG | DACTINOMYCIN NOVAPLUS (PF,LATEX-FREE) 0.5 MG | IV |
55154-8226-05 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL (SDV,5X1ML,LATEX-FREE) 10 MG/1 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
