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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
54569-4765-06 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 400 MG | PO |
54569-4765-09 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 400 MG | PO |
54569-4827-00 | J7510 | PREDNISOLONE ORAL, PER 5 MG | PREDNISOLONE (2X120 ML,RED CHERRY) 15 MG/5 ML | PO |
54569-4904-00 | J1050 | INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG | DEPO-PROVERA CONTRACEPTIVE (SRN, PREFILLED) 150 MG/ML | IM |
54569-4910-00 | 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 |
54569-4910-00 | 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 |
54569-4930-00 | J2941 | INJECTION, SOMATROPIN, 1 MG | SAIZEN (VIAL, W/DILUENT) 5 MG | SC |
54569-5247-00 | J2310 | INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG | NALOXONE HCL (VIAL, FLIPTOP) 0.4 MG/ML | IJ |
54569-5312-01 | J2001 | INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG | LIDOCAINE HCL (5X5ML) 2% | IJ |
54569-5408-00 | J3490 | UNCLASSIFIED DRUGS | ENGERIX-B (TIP-LOK W/O NDL,TAX,PF) 20 MCG/ML | IM |
54569-5445-00 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | XOPENEX (PF) 0.042% | IH |
54569-5445-00 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | XOPENEX (PF) 0.042% | IH |
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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