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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72606-0558-01 | J9025 | INJECTION, AZACITIDINE, 1 MG | AZACITIDINE (SDV,PF,LYOPHILIZED) 100 MG | IJ |
72606-0559-02 | J0594 | INJECTION, BUSULFAN, 1 MG | BUSULFAN (8X10ML;SDV) 6 MG/1 ML | IV |
72606-0569-01 | J1453 | INJECTION, FOSAPREPITANT, 1 MG | FOSAPREPITANT DIMEGLUMINE (SDV,LYOPHILIZED) 150 MG | IV |
72611-0634-25 | J0736 | INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0634-25 | J3490 | UNCLASSIFIED DRUGS | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0639-25 | J0736 | INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0639-25 | J3490 | UNCLASSIFIED DRUGS | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0642-25 | J0736 | INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0642-25 | J3490 | UNCLASSIFIED DRUGS | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0645-55 | J0736 | INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0645-55 | J3490 | UNCLASSIFIED DRUGS | CLINDAMYCIN 150 MG/1 ML | IJ |
72611-0700-01 | J0637 | INJECTION, CASPOFUNGIN ACETATE, 5 MG | CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 50 MG | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2216 RR | Manual Wheelchair Accessory, Foam Filled Propulsion Tire, Any Size, Each | Day | Y |
E2217 | Manual Wheelchair Accessory, Foam Filled Caster Tire, Any Size, Each | Each | Y |
E2217 RR | Manual Wheelchair Accessory, Foam Filled Caster Tire, Any Size, Each | Day | Y |
E2218 | Manual Wheelchair Accessory, Foam Propulsion Tire, Any Size, Each | Each | Y |
E2218 RR | Manual Wheelchair Accessory, Foam Propulsion Tire, Any Size, Each | Day | Y |
E2219 | Manual Wheelchair Accessory, Foam Caster Tire, Any Size, Each | Each | N |
E2219 RR | Manual Wheelchair Accessory, Foam Caster Tire, Any Size, Each | Day | N |
E2220 | Manual Wheelchair Accessory, Solid (Rubber/Plastic) Propulsion Tire, Any Size, Replacement only, Each | Each | N |
E2221 | Manual Wheelchair Accessory, Solid (Rubber/Plastic) Caster Tire (Removable), Any Size, Replacement only, Each | Each | N |
E2222 | Manual Wheelchair Accessory, Solid (Rubber/Plastic) Caster Tire With Integrated Wheel, Any Size, Replacement only, Each | Each | N |
E2224 | Manual Wheelchair Accessory, Propulsion Wheel Excludes Tire, Any Size, Replacement only, Each | Each | N |
E2225 | Manual Wheelchair Accessory, Caster Wheel Excludes Tire, Any Size, Replacement Only, Each | Each | N |
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