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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
71839-0105-24
J2710
INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG
NEOSTIGMINE METHYLSULFATE (USP, MDV,LATEX-FREE) 0.5 MG/1 ML
IV
71839-0106-01
J2710
INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG
NEOSTIGMINE METHYLSULFATE (USP,SDV,LATEX-FREE) 1 MG/1 ML
IV
71839-0106-10
J2710
INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG
NEOSTIGMINE METHYLSULFATE (MDV,LATEX-FREE) 1 MG/1 ML
IV
71839-0106-24
J2710
INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG
NEOSTIGMINE METHYLSULFATE (USP,SDV,LATEX-FREE) 1 MG/1 ML
IV
71839-0107-01
J0878
INJECTION, DAPTOMYCIN, 1 MG
DAPTOMYCIN (SDV,PF,LYOPHILIZED) 500 MG
IV
71839-0108-01
J0878
INJECTION, DAPTOMYCIN, 1 MG
DAPTOMYCIN (SDV,PF,LATEX-FREE) 350 MG
IV
71839-0117-25
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (SDV,25X2ML,PF) 1000 U/1 ML
IJ
71839-0118-25
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (25X0.5ML,SDV,PF) 5000 U/0.5 ML
IJ
71839-0122-10
J3490
UNCLASSIFIED DRUGS
PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG
IV
71839-0122-25
J3490
UNCLASSIFIED DRUGS
PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG
IV
71839-0123-25
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML
IJ
71839-0123-25
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (25X1ML;USP;SDV) 0.2 MG/1 ML
IJ
71839-0124-25
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (25X2ML;USP;SDV) 0.2 MG/1 ML
IJ
71839-0124-25
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (25X2ML;USP;SDV) 0.2 MG/1 ML
IJ
71839-0125-25
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (25X5ML;USP;SDV) 0.2 MG/1 ML
IJ
71839-0125-25
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (25X5ML;USP;SDV) 0.2 MG/1 ML
IJ
71905-0400-11
J8540
DEXAMETHASONE, ORAL, 0.25 MG
DEXABLISS 11-DAY DOSE PACK 1.5 MG
PO
71930-0017-30
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 HCL (FILM-COATED) 4 MG
PO
71930-0017-52
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 HCL (FILM-COATED) 4 MG
PO
71930-0018-30
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 (FILM-COATED) 8 MG
PO
71930-0018-52
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 (FILM-COATED) 8 MG
PO
72078-0025-10
J1327
INJECTION, EPTIFIBATIDE, 5 MG
EPTIFIBATIDE NOVAPLUS 2 MG/1 ML
IV
72078-0027-10
J1327
INJECTION, EPTIFIBATIDE, 5 MG
EPTIFIBATIDE NOVAPLUS 2 MG/1 ML
IV
76282-0676-30
J0604
CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS)
CINACALCET HYDROCHLORIDE (FILM COATED) 60 MG
PO
76297-0001-01
J7040
INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)
SODIUM CHLORIDE (500ML FREEFLEX BAG) 0.9%
IV
76297-0001-11
J7050
INFUSION, NORMAL SALINE SOLUTION , 250 CC
SODIUM CHLORIDE (50ML FLEBOFLEX) 0.9%
IV
76297-0001-21
J7050
INFUSION, NORMAL SALINE SOLUTION , 250 CC
SODIUM CHLORIDE (100ML FLEBOFLEX) 0.9%
IV
76297-0001-31
J7050
INFUSION, NORMAL SALINE SOLUTION , 250 CC
SODIUM CHLORIDE (250ML FLEBOFLEX) 0.9%
IV
76297-0001-41
J7030
INFUSION, NORMAL SALINE SOLUTION , 1000 CC
SODIUM CHLORIDE (1000ML FLEBOFLEX) 0.9%
IV
76310-0017-50
J0207
INJECTION, AMIFOSTINE, 500 MG
ETHYOL 500 MG
IV
76310-0110-01
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
TOTECT (LYOPHILIZED) 500 MG
IV
76329-1911-01
J2270
INJECTION, MORPHINE SULFATE, UP TO 10 MG
MORPHINE SULFATE (USP, PUMP-JET) 1 MG/ML
IJ
76329-3302-01
A4216
STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
DEXTROSE (SD;LUERJET,PF) 50%
IV
76329-3399-05
J2690
INJECTION, PROCAINAMIDE HCL, UP TO 1 GM
PROCAINAMIDE HCL (LUER-JET, LUER-LOCK) 100 MG/1 ML
IJ
76329-9060-00
J0171
INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG
EPINEPHRINE (MDV;USP) 1 MG/1 ML
IJ
76388-0635-50
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
LEUKERAN (FILM-COATED) 2 MG
PO
76388-0713-25
None
BUSULFAN; ORAL, 2 MG
MYLERAN, (FILM-COATED), 2 MG
PO
76420-0018-10
J0665
INJECTION, BUPIVACAINE, NOT OTHERWISE SPECIFIED, 0.5 MG
BUPIVACAINE HCL (PF,LATEX-FREE) 0.25%
IJ
76204-0800-01
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.63 MG/3 ML
IH
76204-0800-24
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (2X12 POUCHES,PF) 0.63 MG/3 ML
IH
76204-0800-24
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (2X12 POUCHES,PF) 0.63 MG/3 ML
IH
76204-0800-25
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.63 MG/3 ML
IH
76204-0800-25
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.63 MG/3 ML
IH
76204-0900-01
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 1.25 MG/3 ML
IH
76204-0900-01
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 1.25 MG/3 ML
IH
76204-0900-24
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (2X12 POUCHES,PF) 1.25 MG/3 ML
IH
76204-0900-24
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (2X12 POUCHES,PF) 1.25 MG/3 ML
IH
76204-0900-25
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 1.25 MG/3 ML
IH
76204-0900-25
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 1.25 MG/3 ML
IH
76282-0640-38
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (30X2ML,SINGLE-DOSE) 0.25 MG/2 ML
IH
76282-0640-38
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (30X2ML,SINGLE-DOSE) 0.25 MG/2 ML
IH
76282-0641-38
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML
IH
76282-0641-38
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML
IH
76282-0642-38
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (MICRONIZED) 1 MG/2 ML
IH
76282-0642-38
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (MICRONIZED) 1 MG/2 ML
IH
76282-0674-30
J0604
CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS)
CINACALCET HYDROCHLORIDE (FILM COATED) 30 MG
PO
76282-0675-30
J0604
CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS)
CINACALCET HYDROCHLORIDE (FILM COATED) 60 MG
PO
71288-0716-10
J2800
INJECTION, METHOCARBAMOL, UP TO 10 ML
METHOCARBAMOL (PF,LATEX-FREE) 100 MG/1 ML
IJ
71288-0719-11
J0330
INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG
SUCCINYLCHOLINE CHLORIDE (MDV;USP,LATEX-FREE) 20 MG/1 ML
IJ
71288-0723-52
J0665
INJECTION, BUPIVICAINE, NOT OTHERWISE SPECIFIED, 0.5 MG
BUPIVACAINE HCL (1X50ML,MDV,LATEX-FREE) 0.25%
IJ
71288-0726-52
J0665
INJECTION, BUPIVICAINE, NOT OTHERWISE SPECIFIED, 0.5 MG
BUPIVACAINE HCL (1X50ML,MDV,LATEX-FREE) 0.5%
IJ
71288-0802-03
J1270
INJECTION, DOXERCALCIFEROL, 1 MCG
DOXERCALCIFEROL (50X2ML;MDV,LATEX-FREE) 2 MCG/1 ML
IV
71288-0802-04
J1270
INJECTION, DOXERCALCIFEROL, 1 MCG
DOXERCALCIFEROL (MDV,LATEX-FREE) 2 MCG/1 ML
IV
71288-0806-51
J3489
INJECTION, ZOLEDRONIC ACID, 1 MG
ZOLEDRONIC ACID (SINGLE USE,PF) 5 MG/100 ML
IV
71288-0807-02
J2370
INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML
PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML
IV
71288-0807-02
J2371
INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS
PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML
IV
71288-0808-76
J2370
INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML
PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML
IV
71288-0808-76
J2371
INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS
PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML
IV
71288-0808-77
J2370
INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML
PHENYLEPHRINE HCL (BULK PACKAGE,LATEX-FREE) 10 MG/1 ML
IV
71288-0808-77
J2371
INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS
PHENYLEPHRINE HCL (BULK PACKAGE,LATEX-FREE) 10 MG/1 ML
IV
71297-0127-27
J8540
DEXAMETHASONE, ORAL, 0.25 MG
LOCORT (7-DAY) 1.5 MG
PO
71297-0211-41
J8540
DEXAMETHASONE, ORAL, 0.25 MG
LOCORT (11-DAY) 1.5 MG
PO
71300-6624-02
J0171
INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG
EPINEPHRINE (PF) 0.1 MG/0.1 ML
IJ
71336-1000-01
J0222
INJECTION, PATISIRAN, 0.1 MG
ONPATTRO (PF,LATEX-FREE) 2 MG/1 ML
IV
71336-1002-01
J0224
INJECTION, LUMASIRAN, 0.5 MG
OXLUMO (SDV,PF,LATEX-FREE) 94.5 MG/0.5 ML
SC
71336-1003-01
J0225
INJECTION, VUTRISIRAN, 1 MG
AMVUTTRA (PF,LATEX-FREE) 25 MG/0.5 ML
SC
71351-0022-10
J0665
INJECTION, BUPIVACAINE, NOT OTHERWISE SPECIFIED, 0.5 MG
BUPIVACAINE HCL (SPINAL,PF,LATEX-FREE) 0.75%
IJ
71351-0022-10
J3490
UNCLASSIFIED DRUGS
BUPIVACAINE HCL (SPINAL,PF,LATEX-FREE) 0.75%
IJ
71390-0011-11
J2249
INJECTION, REMIMAZOLAM, 1 MG
BYFAVO (LYOPHILIZED) 20 MG
IV
71449-0124-83
J2795
INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG
ROPIVACAINE HCL (PF) 2 MG/1 ML
IJ
71715-0001-01
J0121
INJECTION, OMADACYCLINE, 1 MG
NUZYRA (LYOPHILIZED) 100 MG
IV
71715-0001-02
J0121
INJECTION, OMADACYCLINE, 1 MG
NUZYRA (LYOPHILIZED) 100 MG
IV
71754-0001-01
J0171
INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG
EPINEPHRINE CONVENIENCE KIT (1 CONVENIENCE KITS) 1 MG/1 ML
IJ
71754-0001-05
J0171
INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG
EPINEPHRINE CONVENIENCE KIT (5 CONVENIENCE KITS) 1 MG/1 ML
IJ
71773-0050-12
J0122
INJECTION, ERAVACYCLINE, 1 MG
XERAVA (PF,LYOPHILIZED) 50 MG
IV
71773-0100-12
J0122
INJECTION, ERAVACYCLINE, 1 MG
XERAVA (SDV,PF,LYOPHILIZED) 100 MG
IV
71839-0104-01
J1453
INJECTION, FOSAPREPITANT, 1 MG
FOSAPREPITANT DIMEGLUMINE (SDV,LATEX-FREE) 150 MG
IV
71839-0105-01
J2710
INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG
NEOSTIGMINE METHYLSULFATE (USP, MDV,LATEX-FREE) 0.5 MG/1 ML
IV
71288-0424-96
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
PREMIERPRO RX HEPARIN SODIUM (MDV;25X1ML,LATEX-FREE) 10000 U/1 ML
IJ
71288-0427-11
J0583
INJECTION, BIVALIRUDIN, 1 MG
BIVALIRUDIN (SD,PF,LATEX-FREE) 250 MG
IV
71288-0432-81
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (LIGHT BLUE;10X0.3ML,PF) 30 MG/0.3 ML
SC
71288-0432-92
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 30 MG/0.3 ML
SC
71288-0433-83
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (YELLOW;10X0.4ML,PF) 40 MG/0.4 ML
SC
71288-0433-92
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 40 MG/0.4 ML
SC
71288-0434-92
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
HEALTHTRUST ENOXAPARIN SODIUM (10X0.6ML,PF,LATEX-FREE) 60 MG/0.6 ML
SC
71288-0435-92
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 80 MG/0.8 ML
SC
71288-0436-92
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 100 MG/1 ML
SC
71288-0437-94
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 120 MG/0.8 ML
SC
71288-0438-96
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 150 MG/1 ML
SC
71288-0500-11
J2710
INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG
NEOSTIGMINE METHYLSULFATE (10X10ML;MDV;USP) 0.5 MG/1 ML
IV
71288-0501-11
J2710
INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG
NEOSTIGMINE METHYLSULFATE (10X10ML;MDV;USP) 1 MG/1 ML
IV
71288-0502-02
J1631
INJECTION, HALOPERIDOL DECANOATE, PER 50 MG
HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 50 MG/1 ML
IM
71288-0503-02
J1631
INJECTION, HALOPERIDOL DECANOATE, PER 50 MG
HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 100 MG/1 ML
IM
71288-0504-05
J1631
INJECTION, HALOPERIDOL DECANOATE, PER 50 MG
HALOPERIDOL DECANOATE (MDV,LATEX-FREE) 100 MG/1 ML
IM
71288-0600-11
J3490
UNCLASSIFIED DRUGS
PANTOPRAZOLE SODIUM (SDV,PF,LATEX-FREE) 40 MG
IV
76204-0026-01
J7605
ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS
ARFORMOTEROL TARTRATE (30X2ML) 15 MCG/2 ML
IH
76204-0026-02
J7605
ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS
ARFORMOTEROL TARTRATE (30X2ML) 15 MCG/2 ML
IH
76204-0026-02
J7605
ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS
ARFORMOTEROL TARTRATE (30X2ML) 15 MCG/2 ML
IH
76204-0028-60
J7631
CROMOLYN SODIUM, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS
CROMOLYN SODIUM (2X30,PF) 10 MG/1 ML
IH
76204-0028-60
J7631
CROMOLYN SODIUM, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMS
CROMOLYN SODIUM (2X30,PF) 10 MG/1 ML
IH
76204-0100-01
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (30X2.5ML,PF) 0.02%
IH
76204-0100-01
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (30X2.5ML,PF) 0.02%
IH
76204-0100-25
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (25X2.5ML,PF) 0.02%
IH
76204-0100-25
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (25X2.5ML,PF) 0.02%
IH
76204-0100-30
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (30X2.5ML,PF) 0.02%
IH
76204-0100-30
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (30X2.5ML,PF) 0.02%
IH
76204-0100-60
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (60X2.5ML,PF) 0.02%
IH
76204-0100-60
J7644
IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
IPRATROPIUM BROMIDE (60X2.5ML,PF) 0.02%
IH
76204-0200-01
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (30X3ML) 0.083%
IH
76204-0200-01
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (30X3ML) 0.083%
IH
76204-0200-25
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (25X3ML) 0.083%
IH
76204-0200-25
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (25X3ML) 0.083%
IH
76204-0200-30
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (30X3ML) 0.083%
IH
76204-0200-30
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (30X3ML) 0.083%
IH
76204-0200-60
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (60X3ML) 0.083%
IH
76204-0200-60
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (60X3ML) 0.083%
IH
76204-0600-01
J7620
ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME
IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML
IH
76204-0600-05
J7620
ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME
IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE, (30 x 3 ML) 3 MG/3 ML-0.5 MG/3 ML
IH
76204-0600-12
J7620
ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME
IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE, (60 x 3 ML) 3 MG/3 ML-0.5 MG/3 ML
IH
76204-0600-30
J7620
ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME
IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30 VIALS X 1 POUCH) 3MG/3ML-0.5MG/3ML
IH
76204-0600-60
J7620
ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME
IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30 VIALS X 2 POUCHES) 3MG/3ML-0.5MG/3ML
IH
76204-0700-01
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.31 MG/3 ML
IH
76204-0700-01
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.31 MG/3 ML
IH
76204-0700-24
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (2X12 POUCHES,PF) 0.31 MG/3 ML
IH
76204-0700-24
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (2X12 POUCHES,PF) 0.31 MG/3 ML
IH
76204-0700-25
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.31 MG/3 ML
IH
76204-0700-25
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.31 MG/3 ML
IH
76204-0800-01
J7614
LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG
LEVALBUTEROL (PF) 0.63 MG/3 ML
IH
76204-0010-55
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (25X3ML,PF) 0.63 MG/3 ML
IH
76204-0010-55
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (25X3ML,PF) 0.63 MG/3 ML
IH
76204-0011-01
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (30X3ML,PF) 1.25 MG/3 ML
IH
76204-0011-01
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (30X3ML,PF) 1.25 MG/3 ML
IH
76204-0011-55
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (25X3ML,PF) 1.25 MG/3 ML
IH
76204-0011-55
J7613
ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
ALBUTEROL SULFATE (25X3ML,PF) 1.25 MG/3 ML
IH
76204-0018-01
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (MICRONIZED) 0.5 MG/2 ML
IH
76204-0018-01
J7626
BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG
BUDESONIDE (MICRONIZED) 0.5 MG/2 ML
IH
76204-0021-60
A4216
STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
SODIUM CHLORIDE (60X4ML, USP,PF) 7%
IH
76204-0025-96
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
CROMOLYN SODIUM (PF,CONCENTRATE) 100 MG/5 ML
PO
76204-0026-01
J7605
ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS
ARFORMOTEROL TARTRATE (30X2ML) 15 MCG/2 ML
IH
71288-0402-31
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (MDV,LATEX-FREE) 1000 U/1 ML
IJ
71288-0403-02
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (SDV,LATEX-FREE) 5000 U/1 ML
IJ
71288-0403-11
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (MDV,LATEX-FREE) 5000 U/1 ML
IJ
71288-0404-02
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (SDV,LATEX-FREE) 10000 U/1 ML
IJ
71288-0404-05
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (MDV,LATEX-FREE) 10000 U/1 ML
IJ
71288-0405-81
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (24X0.5ML,SDS,PF) 5000 U/0.5 ML
IJ
71288-0406-82
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
HEPARIN SODIUM (24X1ML,SDS,LATEX-FREE) 5000 U/1 ML
IJ
71288-0407-03
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0407-03
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0407-04
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0407-04
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0408-06
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0408-06
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0408-21
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, UPS,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0408-21
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, UPS,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0410-81
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (LIGHT BLUE;10X0.3ML,PF) 30 MG/0.3 ML
SC
71288-0410-83
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (YELLOW;10X0.3ML,PF) 40 MG/0.4 ML
SC
71288-0410-85
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (ORANGE;10X0.3ML,PF) 60 MG/0.6 ML
SC
71288-0410-87
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (BROWN;10X0.8ML,PF) 80 MG/0.8 ML
SC
71288-0410-89
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (GRAY;10X1ML,PF) 100 MG/1 ML
SC
71288-0411-81
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (PURPLE;10X0.8ML,PF) 120 MG/0.8 ML
SC
71288-0411-83
J1650
INJECTION, ENOXAPARIN SODIUM, 10 MG
ENOXAPARIN SODIUM (NAVY BLUE;10X1ML,PF) 150 MG/1 ML
SC
71288-0414-03
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0414-03
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0414-04
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0414-04
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0414-92
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0414-92
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0414-94
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0414-94
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0415-06
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0415-06
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0415-21
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0415-21
J7643
GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML
IJ
71288-0418-10
J1453
INJECTION, FOSAPREPITANT, 1 MG
FOSAPREPITANT DIMEGLUMINE (LATEX-FREE,LYOPHILIZED) 150 MG
IV
71288-0419-96
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
PREMIERPRO RX HEPARIN SODIUM (SDV;25X1ML,LATEX-FREE) 1000 U/1 ML
IJ
71288-0420-96
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
PREMIERPRO RX HEPARIN SODIUM (MDV,25X10ML,LATEX-FREE) 1000 U/1 ML
IJ
71288-0421-96
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
PREMIERPRO RX HEPARIN SODIUM (MDV,25X30ML,LATEX-FREE) 1000 U/1 ML
IJ
71288-0422-96
J1644
INJECTION, HEPARIN SODIUM, PER 1000 UNITS
PREMIERPRO RX HEPARIN SODIUM (SDV;25X1ML,LATEX-FREE) 5000 U/1 ML
IJ
75834-0132-05
None
TEMOZOLOMIDE, 5 MG, ORAL
TEMOZOLOMIDE 5 MG
PO
75834-0132-14
None
TEMOZOLOMIDE, 5 MG, ORAL
TEMOZOLOMIDE 5 MG
PO
75834-0142-05
None
TEMOZOLOMIDE, 20 MG, ORAL
TEMOZOLOMIDE 20 MG
PO
75834-0142-14
None
TEMOZOLOMIDE, 20 MG, ORAL
TEMOZOLOMIDE 20 MG
PO
70332-0103-01
Q0163
DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN
RAPIDPAQ DICOPANOL (1X150ML) 5 MG/1 ML
PO
75834-0143-05
None
TEMOZOLOMIDE, 100 MG, ORAL
TEMOZOLOMIDE 100 MG
PO
75834-0143-14
None
TEMOZOLOMIDE, 100 MG, ORAL
TEMOZOLOMIDE 100 MG
PO
75834-0144-05
None
TEMOZOLOMIDE, 20 MG, ORAL
TEMOZOLOMIDE 140 MG
PO
75834-0144-14
None
TEMOZOLOMIDE, 20 MG, ORAL
TEMOZOLOMIDE 140 MG
PO
75834-0145-05
None
TEMOZOLOMIDE, 20 MG, ORAL
TEMOZOLOMIDE 180 MG
PO
75834-0145-14
None
TEMOZOLOMIDE, 20 MG, ORAL
TEMOZOLOMIDE 180 MG
PO
75834-0146-05
None
TEMOZOLOMIDE, 250 MG, ORAL
TEMOZOLOMIDE 250 MG
PO
HCPCS Code
Description
Billing Unit
SA Type
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