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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70860-0104-10 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PF) 500 MG | IV |
70860-0105-20 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PF,LATEX-FREE) 1 GM | IV |
70860-0106-10 | J0637 | INJECTION, CASPOFUNGIN ACETATE, 5 MG | CASPOFUNGIN ACETATE (PF,LATEX-FREE) 50 MG | IV |
70860-0107-10 | J0637 | INJECTION, CASPOFUNGIN ACETATE, 5 MG | CASPOFUNGIN ACETATE (PF,LATEX-FREE) 70 MG | IV |
70860-0112-15 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (USP,PF,LATEX-FREE) 250 MG | IJ |
70860-0113-15 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (USP,PF,LATEX-FREE) 500 MG | IJ |
70860-0114-15 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (PF,LATEX-FREE) 1 GM | IJ |
70860-0115-26 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (PF,LATEX-FREE) 2 GM | IJ |
70860-0116-26 | J3490 | UNCLASSIFIED DRUGS | NAFCILLIN (PF,LATEX-FREE) 1 GM | IJ |
70860-0117-26 | J3490 | UNCLASSIFIED DRUGS | NAFCILLIN (PF,LATEX-FREE) 2 GM | IJ |
70860-0118-99 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (PHARMACY BULK,USP,PF) 10 GM | IJ |
70860-0119-99 | J3490 | UNCLASSIFIED DRUGS | NAFCILLIN (PF,LATEX-FREE) 10 GM | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0957 RR | Wheelchair Accessory, Medial Thigh Support, Prefabricated, Including Fixed Mounting Hardware | Day | Y |
E0957 U1 | Wheelchair Accessory, Medial Thigh Support, Prefabricated, Including Fixed Mounting Hardware (For use with Group 3 and above) | Each | Y |
E0960 | Wheelchair Accessory, Shoulder Harness/Straps Or Chest Strap, Including Any Type Mounting Hardware | Each | N |
E0960 RR | Wheelchair Accessory, Shoulder Harness/Straps Or Chest Strap, Including Any Type Mounting Hardware | Day | N |
E0960 U1 | Wheelchair Accessory, Shoulder Harness/Straps Or Chest Strap, Including Any Type Mounting Hardware (For use with Group 3 and above) | Each | Y |
E0978 | Wheelchair Accessory, Safety Belt/Pelvic Strap, Each | Each | N |
E0978 RR | Wheelchair Accessory, Safety Belt/Pelvic Strap, Each | Day | N |
E0978 U1 | Wheelchair Accessory, Safety Belt/Pelvic Strap, Each (For use only with Group 3 and above) | Each | Y |
E0980 | Safety Vest, Wheelchair | Each | N |
E0980 RR | Safety Vest, Wheelchair | Day | N |
E0950 | Wheelchair Accessory, Tray, Each | Each | N |
E0950 RR | Wheelchair Accessory, Tray, Each | Day | N |
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