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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
55150-0354-01 | J9206 | INJECTION, IRINOTECAN, 20 MG | IRINOTECAN HYDROCHLORIDE (SDV;USP,PF,LATEX-FREE) 20 MG/1 ML | IV |
55150-0359-50 | J1270 | INJECTION, DOXERCALCIFEROL, 1 MCG | DOXERCALCIFEROL (MDV,LATEX-FREE) 2 MCG/1 ML | IV |
55150-0360-25 | J0780 | INJECTION, PROCHLORPERAZINE, UP TO 10 MG | PROCHLORPERAZINE EDISYLATE (SDV,LATEX-FREE) 5 MG/1 ML | IJ |
55150-0364-25 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN (25X1ML;USP,PF) 1000 MCG/1 ML | IJ |
55150-0365-01 | J0289 | INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG | AMPHOTERICIN B LIPOSOME (SDV,PF,LATEX-FREE) 50 MG | IV |
55150-0366-10 | J9017 | INJECTION, ARSENIC TRIOXIDE, 1 MG | ARSENIC TRIOXIDE (SDV,PF,LATEX-FREE) 2 MG/1 ML | IV |
62756-0970-64 | J0574 | BUPRENORPHINE/NALOXONE, ORAL, GREATER THAN 6 MG, BUT LESS THAN OR EQUAL TO 10 MG BUPRENORPHINE | BUPRENORPHINE-NALOXONE (LEMON LIME,UNCOATED) 8 MG-2 MG | SL |
62756-0970-83 | J0574 | BUPRENORPHINE/NALOXONE, ORAL, GREATER THAN 6 MG, BUT LESS THAN OR EQUAL TO 10 MG BUPRENORPHINE | BUPRENORPHINE-NALOXONE (LEMON LIME,UNCOATED) 8 MG-2 MG | SL |
62756-0974-60 | J9198 | INJECTION, GEMCITABINE HYDROCHLORIDE, (INFUGEM), 100 MG | INFUGEM (LATEX-FREE) 2200 MG/220 ML | IV |
62756-0974-60 | J9199 | INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG | INFUGEM (LATEX-FREE) 2200 MG/220 ML | IV |
62847-0001-01 | J3095 | INJECTION, TELEVANCIN, 10 MG | VIBATIV (SDV,PF,LYOPHILIZED) 750 MG | IV |
62856-0212-01 | J0174 | INJECTION, LECANEMAB-IRMB, 1 MG | LEQEMBI (SDV,PF) 100 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 |
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