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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
51991-0937-98 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV) 6 MG/1 ML | IV |
51991-0938-98 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV) 6 MG/1 ML | IV |
51991-0940-17 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (USP,PF,LATEX-FREE) 500 MG | IV |
51991-0941-17 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (USP,PF,LATEX-FREE) 1 GM | IV |
51991-0942-98 | J1190 | INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG | DEXRAZOXANE (LYOPHILIZED) 500 MG | IV |
51991-0964-25 | J0330 | INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG | SUCCINYLCHOLINE CHLORIDE 20 MG/1 ML | IJ |
52118-0002-01 | J3095 | INJECTION, TELEVANCIN, 10 MG | VIBATIV (SDV,PF,LYOPHILIZED) 250 MG | IV |
52533-0034-20 | J1920 | INJECTION, LABETALOL HYDROCHLORIDE, 5 MG | LABETALOL HCL (1X4ML,SINGLE-DOSE) 5 MG/1 ML | IV |
52536-0162-01 | Q0175 | PERPHENAZINE, 4 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 | PERPHENAZINE (USP,FILM COATED) 2 MG | PO |
52536-0164-01 | Q0175 | PERPHENAZINE, 4 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 | PERPHENAZINE (USP,FILM COATED) 4 MG | PO |
52536-0168-01 | Q0175 | PERPHENAZINE, 4 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 | PERPHENAZINE (USP,FILM COATED) 8 MG | PO |
52536-0170-01 | Q0175 | PERPHENAZINE, 4 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 | PERPHENAZINE (USP,FILM COATED) 16 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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