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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72819-0156-08 | J7518 | MYCOPHENOLIC ACID, ORAL, 180 MG | MYCOPHENOLIC ACID (FILM-COATED) 360 MG | PO |
72888-0079-17 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR (USP,BANANA) 200 MG/5 ML | PO |
72893-0004-01 | J0642 | INJECTION, LEVOLEUCOVORIN (KHAPZORY), 0.5 MG | KHAPZORY (PF,LYOPHILIZED) 175 MG | IV |
72893-0006-01 | J0642 | INJECTION, LEVOLEUCOVORIN (KHAPZORY), 0.5 MG | KHAPZORY (PF,LYOPHILIZED) 300 MG | IV |
72903-0853-01 | J9063 | INJECTION, MIRVETUXIMAB SORAVTANSINE-GYNX, 1 MG | ELAHERE (SDV,PF,LATEX-FREE) 5 MG/1 ML | IV |
73042-0201-01 | J9348 | INJECTION, NAXITAMAB-GQGK, 1 MG | DANYELZA (PF) 4 MG/1 ML | IV |
70121-1408-05 | J1270 | INJECTION, DOXERCALCIFEROL, 1 MCG | DOXERCALCIFEROL (MDV) 2 MCG/1 ML | IV |
70121-1453-07 | J2185 | INJECTION, MEROPENEM, 100 MG | MEROPENEM (USP) 1 GM | IV |
72516-0024-25 | J2440 | INJECTION, PAPAVERINE HCL, UP TO 60 MG | PAPAVERINE HCL 30 MG/1 ML | IJ |
72572-0015-25 | J3490 | UNCLASSIFIED DRUGS | AMINOCAPROIC ACID 250 MG/1 ML | IV |
72572-0016-10 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (SDV;USP,LATEX-FREE) 1 GM | IJ |
72572-0017-10 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (SDV;USP,LATEX-FREE) 2 GM | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2325 RR | Power Wheelchair Accessory, Sip And Puff Interface, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, And Manual Swing Away Mounting Hardware | Day | Y |
E2326 | Power Wheelchair Accessory, Breathe Tube Kit For Sip And Puff Interface | Each | Y |
E2326 RR | Power Wheelchair Accessory, Breathe Tube Kit For Sip And Puff Interface | Day | Y |
E2327 | Power Wheelchair Accessory, Head Control Interface, Mechanical, Proportional, Including All Related Electronics, Mechanical Direction Change Switch, And Fixed Mounting Hardware | Each | Y |
E2327 RR | Power Wheelchair Accessory, Head Control Interface, Mechanical, Proportional, Including All Related Electronics, Mechanical Direction Change Switch, And Fixed Mounting Hardware | Day | Y |
E2328 | Power Wheelchair Accessory, Head Control Or Extremity Control Interface, Electronic, Proportional, Including All Related Electronics And Fixed Mounting Hardware | Each | Y |
E2328 RR | Power Wheelchair Accessory, Head Control Or Extremity Control Interface, Electronic, Proportional, Including All Related Electronics And Fixed Mounting Hardware | Day | Y |
E2329 | Power Wheelchair Accessory, Head Control Interface, Contact Switch Mechanism, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, Mechanical Direction Change Switch, Head Array, And Fixed Mounting Hardware | Each | Y |
E2329 RR | Power Wheelchair Accessory, Head Control Interface, Contact Switch Mechanism, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, Mechanical Direction Change Switch, Head Array, And Fixed Mounting Hardware | Day | Y |
E2330 | Power Wheelchair Accessory, Head Control Interface, Proximity Switch Mechanism, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, Mechanical Direction Change Switch, Head Array, And Fixed Mounting Hardware | Each | Y |
E2330 RR | Power Wheelchair Accessory, Head Control Interface, Proximity Switch Mechanism, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, Mechanical Direction Change Switch, Head Array, And Fixed Mounting Hardware | Day | Y |
E2331 | Power Wheelchair Accessory, Attendant Control, Proportional, Including All Related Electronics And Fixed Mounting Hardware | Each | Y |
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