top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
54868-0296-02 | J7060 | 5% DEXTROSE/WATER (500 ML = 1 UNIT) | DEXTROSE 5% | IV |
54868-0296-04 | J7060 | 5% DEXTROSE/WATER (500 ML = 1 UNIT) | DEXTROSE (48X100ML) 5% | IV |
54868-0559-00 | J0690 | INJECTION, CEFAZOLIN SODIUM, 500 MG | CEFAZOLIN SODIUM (VIAL) 1 GM | IJ |
54868-0601-01 | J8498 | ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED | PROMETHAZINE HCL 25 MG | RC |
54868-0601-02 | J8498 | ANTIEMETIC DRUG, RECTAL/SUPPOSITORY, NOT OTHERWISE SPECIFIED | PROMETHAZINE HCL 25 MG | RC |
54868-0617-01 | J3360 | INJECTION, DIAZEPAM, UP TO 5 MG | DIAZEPAM (M.D.V.,FLIPTOP) 5 MG/ML | IJ |
54868-0617-02 | J3360 | INJECTION, DIAZEPAM, UP TO 5 MG | DIAZEPAM (10X10ML,M.D.V) 5 MG/ML | IJ |
54868-0734-00 | J3490 | UNCLASSIFIED DRUGS | ENGERIX-B (S.D.V.,PF) 20 MCG/ML | IM |
54868-0753-00 | J0561 | INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS | BICILLIN L-A (TUBEX) 600000 U/ML | IM |
54868-0753-01 | J0561 | INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS | BICILLIN L-A (TUBEX) 600000 U/ML | IM |
54868-0762-00 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | VITAMIN B12 (VIAL) 1000 MCG/ML | IM |
54868-0762-01 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN 1000 MCG/ML | IM |
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