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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72266-0107-01 | J0637 | INJECTION, CASPOFUNGIN ACETATE, 5 MG | CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 70 MG | IV |
72266-0108-01 | J9027 | INJECTION, CLOFARABINE, 1 MG | CLOFARABINE (SDV,PF,LATEX-FREE) 1 MG/1 ML | IV |
72266-0118-25 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | KETOROLAC TROMETHAMINE 30 MG/1 ML | IJ |
72266-0119-25 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | KETOROLAC TROMETHAMINE (USP, SDV,PF,LATEX-FREE) 30 MG/1 ML | IM |
72266-0120-01 | J0641 | INJECTION, LEVOLEUCOVORIN, NOT OTHERWISE SPECIFIED, 0.5 MG | LEVOLEUCOVORIN CALCIUM (1X17.5ML;SDV,PF) 10 MG/1 ML | IV |
72266-0121-01 | J0641 | INJECTION, LEVOLEUCOVORIN, NOT OTHERWISE SPECIFIED, 0.5 MG | LEVOLEUCOVORIN CALCIUM (1X25ML;SDV,PF) 10 MG/1 ML | IV |
72266-0123-25 | J2405 | INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG | ONDANSETRON HCL (SDV,PF,LATEX-FREE) 2 MG/1 ML | IJ |
72266-0124-01 | J2405 | INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG | ONDANSETRON (MDV,USP) 2 MG/1 ML | IJ |
72266-0125-10 | J9263 | INJECTION, OXALIPLATIN, 0.5 MG | OXALIPLATIN (PF) 5 MG/1 ML | IV |
72266-0126-10 | J9263 | INJECTION, OXALIPLATIN, 0.5 MG | OXALIPLATIN (PF) 5 MG/1 ML | IV |
72266-0127-05 | J0500 | INJECTION, DICYCLOMINE HCL, UP TO 20 MG | DICYCLOMINE HCL (5X2ML;SDV) 10 MG/1 ML | IM |
72266-0152-01 | J3489 | INJECTION, ZOLEDRONIC ACID, 1 MG | ZOLEDRONIC ACID (PF,LATEX-FREE) 5 MG/100 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A4405 | Ostomy skin barrier, non-pectin based, paste, per ounce | Ounce | N |
A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | Ounce | N |
A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built in convexity, 4x4 inches or smaller, each | Each | N |
A4408 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built in convexity, larger than, 4x4 inches, each | Each | N |
A4409 | Ostomy skin barrier, with flange, (solid, flexible, or accordion), extended wear, without built-in convexity, 4X4 inches or smaller, each | Each | N |
A4410 | Ostomy skin barrier, with flange, (solid, flexible, or accordion), extended wear, without built-in convexity, larger than 4X4 inches, each | Each | N |
A4414 | Ostomy skin barrier, with flange (solid, flexible, or accordion), with out built in convexity 4x4 inches or smaller, each | Each | N |
A4415 | Ostomy skin barrier, with flange (solid, flexible, or accordion), with out built in convexity, larger than 4x4 inches, each | Each | N |
A5120 | Skin Barrier Wipes or swabs, each | Each | Y |
A5121 | Skin Barrier, Solid 6x6 Or Equiv. | Each | N |
A5122 | Skin Barrier, solid, 8x8 Or Equivalent | Each | N |
E0840 | Traction Frame Attached To Headboard, Cervical Traction | Per Set | N |
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