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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
58281-0560-02 | J0475 | INJECTION, BACLOFEN, 10 MG | LIORESAL INTRATHECAL REFILL KIT (2X20ML AMP) 0.5 MG/ML | MR |
58281-0561-02 | J0475 | INJECTION, BACLOFEN, 10 MG | LIORESAL INTRATHECAL REFILL KIT (2X5 ML AMP) 2 MG/ML | IN |
58281-0562-01 | J0476 | INJECTION, BACLOFEN, 50 MCG FOR INTRATHECAL TRIAL | LIORESAL INTRATHECAL SCREENING KIT (1X1 ML AMP) 0.05 MG/ML | IN |
58281-0563-01 | J0475 | INJECTION, BACLOFEN, 10 MG | LIORESAL INTRATHECAL REFILL KIT (1X20ML AMP) 2 MG/ML | MR |
58281-0563-02 | J0475 | INJECTION, BACLOFEN, 10 MG | LIORESAL INTRATHECAL REFILL KIT (2X20ML AMP) 2 MG/ML | MR |
58406-0010-01 | J1438 | INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | ENBREL (25MG/0.5ML PREFILL SYR) 50 MG/1 ML | SC |
58406-0010-04 | J1438 | INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | ENBREL (25MG/0.5ML X 4 PREFILL) 50 MG/1 ML | SC |
58406-0021-01 | J1438 | INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | ENBREL (50MG/1ML PREFILL SYR,PF) 50 MG/1 ML | SC |
58406-0021-04 | J1438 | INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | ENBREL (4 PREFILLED SYRINGES,PF) 50 MG/1 ML | SC |
58406-0032-01 | J1438 | INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | ENBREL (SURECLICK AUTOINJECTOR) 50 MG/1 ML | SC |
58406-0032-04 | J1438 | INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | ENBREL (SURECLICK AUTOINJECTOR) 50 MG/1 ML | SC |
58406-0044-01 | J1438 | INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | ENBREL MINI (1 PREFILLED CARTRIDGE) 50 MG/1 ML | SC |
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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