top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
62756-0091-40 | J1050 | INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG | MEDROXYPROGESTERONE ACETATE (LATEX-FREE) 150 MG/1 ML | IM |
62756-0102-60 | J9198 | INJECTION, GEMCITABINE HYDROCHLORIDE, (INFUGEM), 100 MG | INFUGEM (LATEX-FREE) 1400 MG/140 ML | IV |
62756-0102-60 | J9199 | INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG | INFUGEM (LATEX-FREE) 1400 MG/140 ML | IV |
62756-0129-40 | J3490 | UNCLASSIFIED DRUGS | PANTOPRAZOLE SODIUM (LYOPHILIZED) 40 MG | IV |
62756-0129-44 | J3490 | UNCLASSIFIED DRUGS | PANTOPRAZOLE SODIUM (LYOPHILIZED) 40 MG | IV |
62756-0130-01 | 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 |
62756-0131-01 | 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 |
62756-0181-01 | J2405 | INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG | ONDANSETRON (5X2ML,SDA,USP) 2 MG/ML | IJ |
62756-0219-60 | J9198 | INJECTION, GEMCITABINE HYDROCHLORIDE, (INFUGEM), 100 MG | INFUGEM (LATEX-FREE) 1500 MG/150 ML | IV |
54868-4651-00 | J0690 | INJECTION, CEFAZOLIN SODIUM, 500 MG | CEFAZOLIN SODIUM (VIAL,PF) 500 MG | IJ |
54868-4686-01 | J8498 | ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED | PROMETHEGAN 25 MG | RC |
54868-4721-00 | Q0164 | PROCHLORPERAZINE MALEATE, 5 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 | PROCHLORPERAZINE MALEATE 5 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