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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
54868-4296-00 | A4217 | STERILE WATER/SALINE, 500 ML | WATER FOR IRRIGATION | IR |
54868-4311-00 | A4217 | STERILE WATER/SALINE, 500 ML | WATER FOR INJECTION | IV |
54868-4319-00 | J1750 | INJECTION, IRON DEXTRAN, 50 MG | INFED (2MLX10) 50 MG/ML | IJ |
54868-4381-00 | J1815 | INJECTION, INSULIN, PER 5 UNITS | HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML | SC |
54868-4409-00 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | XOPENEX (PF) 0.021% | IH |
54868-4409-00 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | XOPENEX (PF) 0.021% | IH |
54569-3899-00 | J7613 | ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG | ALBUTEROL SULFATE 0.083% | IH |
54569-3899-00 | J7613 | ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG | ALBUTEROL SULFATE 0.083% | IH |
54569-3900-00 | J7611 | ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG | ALBUTEROL SULFATE 0.5% | IH |
54569-3946-00 | J1030 | INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG | DEPO-MEDROL (VIAL) 40 MG/ML | IJ |
54569-4026-04 | J7512 | PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG | PREDNISONE 5 MG | PO |
54569-4168-00 | 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 | PROMETHAZINE HYDROCHLORIDE 25 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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