top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
57237-0076-50 | Q0162 | ONDANSETRON 1 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 | ONDANSETRON HCL (FILM-COATED) 8 MG | PO |
57237-0077-30 | Q0162 | ONDANSETRON 1 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 | ONDANSETRON (USP,STRAWBERRY GUARANA) 4 MG | PO |
57237-0078-30 | Q0162 | ONDANSETRON 1 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 | ONDANSETRON (USP,STRAWBERRY GUARANA) 8 MG | PO |
57278-0315-02 | J1444 | INJECTION, FERRIC PYROPHOSPHATE CITRATE POWDER, 0.1 MG OF IRON | TRIFERIC 272 MG | NA |
57664-0683-31 | J2020 | INJECTION, LINEZOLID, 200 MG | LINEZOLID (INNER PACK,LATEX-FREE) 2 MG/1 ML | IV |
57664-0683-57 | J2020 | INJECTION, LINEZOLID, 200 MG | LINEZOLID (10X300ML BAGS) 2 MG/1 ML | IV |
57665-0001-01 | J2504 | INJECTION, PEGADEMASE BOVINE, 25 IU | ADAGEN (VIAL) 250 U/ML | IM |
57665-0101-41 | J0287 | INJECTION, AMPHOTERICIN B LIPID COMPLEX, 10 MG | ABELCET (W/FILTER NEEDLE) 5 MG/ML | IV |
57665-0331-01 | J9098 | INJECTION, CYTARABINE LIPOSOME, 10 MG | DEPOCYT (S.D.V.) 10 MG/ML | IN |
57894-0030-01 | J1745 | INJECTION, INFLIXIMAB, EXCLUDES BIOSIMILAR, 10 MG | REMICADE (S.D.V.,PF) 100 MG | IV |
57894-0054-27 | J3357 | USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG | STELARA (SDV,PF) 5 MG/1 ML | IV |
57894-0054-27 | J3358 | USTEKINUMAB, FOR INTRAVENOUS INJECTION, 1 MG | STELARA (SDV,PF) 5 MG/1 ML | IV |
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