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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
58463-0010-08 | J8540 | DEXAMETHASONE, ORAL, 0.25 MG | DECADRON (RASPBERRY) 0.5 MG/5 ML | PO |
58463-0014-01 | J8540 | DEXAMETHASONE, ORAL, 0.25 MG | DECADRON 0.5 MG | PO |
54868-4419-00 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | KETOROLAC TROMETHAMINE (S.D.V.) 30 MG/ML | IM |
54868-4419-01 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | KETOROLAC TROMETHAMINE 30 MG/ML | IM |
54868-4464-00 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | SODIUM CHLORIDE (PF) 0.9% | IV |
54868-4488-00 | J2540 | INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS | PENICILLIN G POTASSIUM (VIAL,PHARMACY BOTTLE) 20 Million U | IV |
54868-4527-00 | J0456 | INJECTION, AZITHROMYCIN, 500 MG | ZITHROMAX (VIAL) 500 MG | IV |
54868-4626-00 | J1815 | INJECTION, INSULIN, PER 5 UNITS | LANTUS (VIAL) 100 U/ML | SC |
54868-4644-01 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | ZITHROMAX 250 MG | PO |
54879-0022-01 | None | CYCLOPHOSPHAMIDE, 50 MG, ORAL | CYCLOPHOSPHAMIDE 50 MG | PO |
54879-0036-64 | J9050 | INJECTION, CARMUSTINE, 100 MG | CARMUSTINE (W/DILUENT,LYOPHILIZED) 100 MG | IV |
54888-1082-03 | 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 10 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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