top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
49502-0345-73 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBI (56X5ML,SDA,PF) 300 MG/5 ML | IH |
49502-0345-73 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBI (56X5ML,SDA,PF) 300 MG/5 ML | IH |
49502-0500-02 | J0171 | INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG | EPIPEN AUTO-INJECTOR (W/TRAINER DEVICE) 0.3 MG/0.3 ML | IJ |
49502-0501-20 | A4218 | STERILE SALINE OR WATER, METERED DOSE DISPENSER, 10 ML | SODIUM CHLORIDE (NEBU-SOL/MTR DOSE DSPNS) 0.9% | IH |
49502-0605-30 | J7606 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS | PERFOROMIST, 20 MCG/2 ML | IH |
49502-0605-30 | J7606 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS | PERFOROMIST, 20 MCG/2 ML | IH |
49502-0605-61 | J7606 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS | PERFOROMIST 20 MCG/2 ML | IH |
49502-0806-77 | J7677 | REVEFENACIN INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, 1 MICROGRAM | YUPELRI (SAMPLE) 175 MCG/3 ML | IH |
49502-0806-93 | J7677 | REVEFENACIN INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, 1 MICROGRAM | YUPELRI 175 mcg/3 ml | IH |
49502-0806-93 | J7699 | NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME | YUPELRI 175 mcg/3 ml | IH |
49702-0213-26 | J3485 | INJECTION, ZIDOVUDINE, 10 MG | RETROVIR (SINGLE USE,PF) 10 MG/1 ML | IV |
49884-0119-91 | J7527 | EVEROLIMUS, ORAL, 0. 25 MG | EVEROLIMUS (4X7) 2.5 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 |
bottom of page