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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
54868-5005-01 | None | CYCLOPHOSPHAMIDE, 50 MG, ORAL | CYCLOPHOSPHAMIDE 50 MG | PO |
54868-5016-00 | J3121 | INJECTION, TESTOSTERONE ENANTHATE,1 MG | DELATESTRYL 200 MG/ML | IM |
54868-5026-00 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | SODIUM CHLORIDE (AMP,PF) 0.9% | IH |
54868-5070-00 | J1610 | INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG | GLUCAGON EMERGENCY KIT 1 MG | IJ |
54868-5108-00 | J1817 | INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS | HUMALOG 100 U/ML | SC |
54868-5112-00 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | LOVENOX 80 MG/0.8 ML | SC |
54868-5112-01 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | LOVENOX 80 MG/0.8 ML | SC |
54868-5181-00 | 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 |
54868-5201-00 | J1815 | INJECTION, INSULIN, PER 5 UNITS | NOVOLOG MIX 70/30 70 U/ML-30 U/ML | SC |
54868-5213-00 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE 5 MG | PO |
54868-5218-00 | None | CYCLOPHOSPHAMIDE, 25 MG, ORAL | CYCLOPHOSPHAMIDE 25 MG | PO |
54868-5218-01 | None | CYCLOPHOSPHAMIDE, 25 MG, ORAL | CYCLOPHOSPHAMIDE 25 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 |
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