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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
69097-0321-53 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (MICRONIZED) 1 MG/2 ML | IH |
69097-0321-53 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (MICRONIZED) 1 MG/2 ML | IH |
69097-0321-87 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 1 MG/2 ML | IH |
69097-0321-87 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 1 MG/2 ML | IH |
69097-0410-02 | J0604 | CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS) | CINACALCET HYDROCHLORIDE (FILM COATED) 30 MG | PO |
69097-0411-02 | J0604 | CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS) | CINACALCET HYDROCHLORIDE (FILM COATED) 60 MG | PO |
69097-0412-02 | J0604 | CINACALCET, ORAL, 1 MG, (FOR ESRD ON DIALYSIS) | CINACALCET HYDROCHLORIDE (FILM COATED) 90 MG | PO |
69097-0439-35 | J2469 | INJECTION, PALONOSETRON HCL, 25 MCG | PALONOSETRON HCL 0.05 MG/1 ML | IV |
69097-0516-07 | None | CYCLOPHOSPHAMIDE, 25 MG, ORAL | CYCLOPHOSPHAMIDE (HARD GELATIN) 25 MG | PO |
69097-0517-07 | None | CYCLOPHOSPHAMIDE, 50 MG, ORAL | CYCLOPHOSPHAMIDE (HARD GELATIN) 50 MG | PO |
69097-0534-97 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL 10 MG/1 ML | IV |
69097-0535-96 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL 10 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3360 | Sole wedge, outside sole | Each | Y |
L3370 | Sole wedge, between sole | Each | Y |
L3380 | Clubfoot wedge | Each | Y |
L3390 | Outflare wedge | Each | Y |
L3400 | Metatarsal bar wedge, rocker | Each | Y |
L3410 | Metatarsal bar wedge, between sole | Each | Y |
L3420 | Full sole and heel wedge, between sole | Each | Y |
L3430 | Heel, counter, plastic reinforced | Each | Y |
L3440 | Heel, counter, leather reinforced | Each | Y |
L3450 | Heel, SACH, cushion type | Each | Y |
L3455 | Heel, new leather, standard | Each | Y |
L3460 | Heel, new rubber, standard | Each | Y |
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