top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
55150-0324-25 | J1940 | INJECTION, FUROSEMIDE, UP TO 20 MG | FUROSEMIDE (SDV,PF,LATEX-FREE) 10 MG/1 ML | IJ |
55150-0327-10 | J2310 | INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG | NALOXONE HCL (10X1ML;SDV,PF) 0.4 MG/1 ML | IJ |
55150-0328-10 | J2310 | INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG | NALOXONE HCL (10X10ML;MDV,LATEX-FREE) 0.4 MG/1 ML | IJ |
55150-0329-01 | J1050 | INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG | MEDROXYPROGESTERONE ACETATE (SDV,PF,LATEX-FREE) 150 MG/1 ML | IM |
54868-4773-00 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | HYDROXYUREA 500 MG | PO |
54868-4773-01 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | HYDROXYUREA 500 MG | PO |
54868-4773-02 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | HYDROXYUREA 500 MG | PO |
54868-4773-03 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | HYDROXYUREA 500 MG | PO |
54868-4794-02 | J8498 | ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED | PROMETHAZINE 12.5 MG | RC |
54868-4997-00 | J0725 | INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS | PREGNYL (W/DILUENT) 10000 U | IM |
54868-5000-00 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | ARIMIDEX 1 MG | PO |
54868-5005-00 | None | CYCLOPHOSPHAMIDE, 50 MG, ORAL | CYCLOPHOSPHAMIDE 50 MG | PO |
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
