top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
54868-4050-00 | J2270 | INJECTION, MORPHINE SULFATE, UP TO 10 MG | MORPHINE SULFATE | NA |
54868-4078-01 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | ZITHROMAX 200 MG/5 ML | PO |
54868-4082-00 | J7644 | IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | IPRATROPIUM BROMIDE (VIAL) 0.02% | IH |
54868-4082-00 | J7644 | IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | IPRATROPIUM BROMIDE (VIAL) 0.02% | IH |
54868-4082-01 | J7644 | IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | IPRATROPIUM BROMIDE (VIAL) 0.02% | IH |
54868-4082-01 | J7644 | IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | IPRATROPIUM BROMIDE (VIAL) 0.02% | IH |
54868-4096-00 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE (6 DAY DOSEPAK) 5 MG | PO |
54868-4106-00 | J3260 | INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG | TOBRAMYCIN SULFATE (M.D.V.) 40 MG/ML | IJ |
54868-4109-00 | Q0169 | PROMETHAZINE HYDROCHLORIDE, 12.5 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 | HYDROXYZINE PAMOATE 100 MG | PO |
54868-4123-00 | J0585 | INJECTION, ONABOTULINUMTOXINA, 1 UNIT | BOTOX 100 U | IM |
54868-4142-00 | None | TEMODAR, 20 MG, ORAL | TEMODAR 20 MG | PO |
54868-4142-02 | None | TEMODAR, 20 MG, ORAL | TEMODAR 20 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