top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70710-1665-05 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN 1000 MCG/1 ML | IJ |
70710-1667-01 | Q0164 | PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | PROCHLORPERAZINE MALEATE (USP,FILM-COATED) 5 MG | PO |
70710-1668-01 | Q0164 | PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | PROCHLORPERAZINE MALEATE (USP,FILM-COATED) 10 MG | PO |
70710-1726-01 | J9261 | INJECTION, NELARABINE, 50 MG | NELARABINE (1X50ML;SD,LATEX-FREE) 5 MG/1 ML | IV |
70710-1726-08 | J9261 | INJECTION, NELARABINE, 50 MG | NELARABINE (6X50ML;SD,LATEX-FREE) 5 MG/1 ML | IV |
70710-1757-06 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (10X0.3ML,SINGLE-DOSE,PF) 30 MG/0.3 ML | SC |
70710-1758-06 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (10X0.4ML;SINGLE DOSE,PF) 40 MG/0.4 ML | SC |
70710-1759-06 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (10X0.6ML,SINGLE-DOSE,PF) 60 MG/0.6 ML | SC |
70710-1760-06 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (10X0.8ML,SINGLE-DOSE,PF) 80 MG/0.8 ML | SC |
70710-1761-06 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (SINGLE-DOSE,PF) 100 MG/1 ML | SC |
70710-1762-06 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (10X0.8ML;SINGLE-DOSE,PF) 120 MG/0.8 ML | SC |
70710-1763-06 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (SINGLE-DOSE,PF) 150 MG/1 ML | SC |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A4378 | Ostomy pouch, drainable, for use on faceplate rubber, each | Each | N |
A4379 | Ostomy pouch urinary, with faceplate attached, plastic, each | Each | N |
A4380 | Ostomy pouch urinary, with faceplate attached, rubber, each | Each | N |
A4381 | Ostomy pouch urinary, for use on faceplate, plastic, each | Each | N |
A4382 | Ostomy pouch urinary, for use on faceplate, heavy plastic, each | Each | N |
A4383 | Ostomy pouch urinary, for use on faceplate, rubber, each | Each | N |
A4387 | Ostomy pouch, closed, with barrier attached, with built in convexity (one piece), each | Each | Y |
A4388 | Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each | Each | N |
A4389 | Ostomy pouch drainable, with barrier attached, with built in convexity (one piece), each | Each | N |
A4390 | Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity (1 piece), each | Each | N |
A4391 | Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each | Each | N |
A4392 | Ostomy pouch, urinary, with standard wear barrier attached, with built in convexity (1 piece), each | Each | N |
bottom of page