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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72572-0601-01 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL 10 MG/1 ML | IV |
72572-0601-20 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL 10 MG/1 ML | IV |
72572-0612-01 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL 10 MG/1 ML | IV |
72572-0612-10 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL 10 MG/1 ML | IV |
72572-0707-01 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 5 MG/1 ML | IJ |
72572-0707-10 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 5 MG/1 ML | IJ |
72572-0750-10 | J0330 | INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG | ANECTINE (MDV) 20 MG/1 ML | IV |
72572-0760-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP,HARD GELATIN) 0.5 MG | PO |
72572-0761-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP,HARD GELATIN) 1 MG | PO |
72572-0801-02 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (USP,PF,LATEX-FREE) 1 GM | IV |
72572-0803-01 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM | IV |
72572-0805-01 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PACKAGE) 10 GM | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A4430 | Ostomy pouch, urinary, with extended wear barrier attached with built in convexity, with faucet � type tap with valve (one piece), each | Each | N |
A4431 | Ostomy pouch, urinary, with barrier attached with faucet � type tap with valve (one piece), each | Each | N |
A4432 | Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet � type tap with valve (two piece), each | Each | N |
A4433 | Ostomy pouch, urinary; for use on barrier with locking flange, (two piece), each | Each | N |
A4434 | Ostomy pouch, urinary; for use on barrier with locking flange, with faucet � type tap with valve (two piece), each | Each | N |
A4435 | Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filer, each | Each | N |
A5051 | Ostomy Pouch, Closed W/Barriers Attached, 1 Piece | Each | N |
A5052 | Ostomy Pouch Closed Without Barrier Attached, 1 Piece | Each | N |
A5053 | Ostomy Pouch, Closed For Use On Face Plate | Each | N |
A5054 | Ostomy Pouch Closed For Use On A Barrier With Flange, 2 Pieces, does not say closed or mini pouch | Each | N |
A5061 | Ostomy Pouch, Drainable, W/Barrier Attached; 1 piece | Each | N |
A5062 | Ostomy Pouch, Drainable Without Barrier Attached, 1 Piece | Each | N |
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