top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
51552-0687-01 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE (1X1GM,USP) | NA |
51552-0687-09 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL CITRATE (1X500MG,USP) | NA |
51552-0688-02 | J0745 | INJECTION, CODEINE PHOSPHATE, PER 30 MG | CODEINE PHOSPHATE (1X5GM,USP) | NA |
51552-0688-03 | J0745 | INJECTION, CODEINE PHOSPHATE, PER 30 MG | CODEINE PHOSPHATE (1X10GM,USP) | NA |
51552-0688-04 | J0745 | INJECTION, CODEINE PHOSPHATE, PER 30 MG | CODEINE PHOSPHATE (1X25GM,USP) | NA |
51552-0715-04 | J3490 | UNCLASSIFIED DRUGS | RIFAMPIN (USP,1X25GM) | NA |
51552-0715-05 | J3490 | UNCLASSIFIED DRUGS | RIFAMPIN (USP,1X100GM) | NA |
51552-0728-01 | J1230 | INJECTION, METHADONE HCL, UP TO 10 MG | METHADONE HCL (U.S.P.) | NA |
51552-0728-02 | J1230 | INJECTION, METHADONE HCL, UP TO 10 MG | METHADONE HCL (U.S.P.) | NA |
51552-0728-04 | J1230 | INJECTION, METHADONE HCL, UP TO 10 MG | METHADONE HCL (U.S.P.) | NA |
51552-0729-01 | J2060 | INJECTION, LORAZEPAM, 2 MG | LORAZEPAM (1X1GM,USP) | NA |
51552-0729-02 | J2060 | INJECTION, LORAZEPAM, 2 MG | LORAZEPAM (1X5GM,USP) | NA |
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