top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
53270-0054-01 | J1573 | INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAVENOUS, 0.5 ML | NOVAPLUS HEPAGAM B (1X1ML,>312IU/ML,SDV) | IJ |
53270-3000-01 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (SDV) 15000 IU | IV |
53270-3100-01 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (1X4.4ML,SDV) 5000 IU | IV |
53270-3300-01 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (1X1.3ML,SDV) 1500 IU | IV |
53270-3500-01 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (1X2.2ML,SDV) 2500 IU | IV |
53489-0376-01 | Q0173 | TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 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 | TRIMETHOBENZAMIDE HCL 300 MG | PO |
53964-0001-01 | J9340 | INJECTION, THIOTEPA, 15 MG | TEPADINA 15 MG | IJ |
53964-0002-02 | J9340 | INJECTION, THIOTEPA, 15 MG | TEPADINA 100 MG | IJ |
54092-0700-01 | J1743 | INJECTION, IDURSULFASE, 1 MG | ELAPRASE (PF) 2 MG/ML | IV |
54288-0100-01 | J3489 | INJECTION, ZOLEDRONIC ACID, 1 MG | ZOLEDRONIC ACID (SINGLE-USE,LATEX-FREE) 4 MG/5 ML | IV |
54288-0109-02 | J9245 | INJECTION, MELPHALAN HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 50 MG | MELPHALAN HYDROCHLORIDE (W/10ML DILUENT) 50 MG | IV |
54288-0111-05 | J1980 | INJECTION, HYOSCYAMINE SULFATE, UP TO 0.25 MG | HYOSCYAMINE SULFATE (5X1ML) 0.5 MG/1 ML | IJ |
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
