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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68001-0468-36 | J9263 | INJECTION, OXALIPLATIN, 0.5 MG | OXALIPLATIN (PF,LATEX-FREE) 5 MG/1 ML | IV |
68001-0468-37 | J9263 | INJECTION, OXALIPLATIN, 0.5 MG | OXALIPLATIN (PF,LATEX-FREE) 5 MG/1 ML | IV |
68001-0480-22 | J9206 | INJECTION, IRINOTECAN, 20 MG | IRINOTECAN HYDROCHLORIDE (SDV;USP,PF,GLUTEN-FREE) 20 MG/1 ML | IV |
68001-0480-35 | J9206 | INJECTION, IRINOTECAN, 20 MG | IRINOTECAN HYDROCHLORIDE (SDV;USP,PF,GLUTEN-FREE) 20 MG/1 ML | IV |
68001-0482-25 | J2469 | INJECTION, PALONOSETRON HCL, 25 MCG | PALONOSETRON HCL (SDV) 0.05 MG/1 ML | IV |
68001-0487-06 | None | CAPECITABINE, 150 MG, ORAL | CAPECITABINE (USP,FILM COATED) 150 MG | PO |
68001-0488-07 | None | CAPECITABINE, 500 MG, ORAL | CAPECITABINE (USP,FILM COATED) 500 MG | PO |
68001-0491-04 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | IMATINIB MESYLATE (FILM COATED) 400 MG | PO |
68001-0492-36 | Q2050 | INJECTION, DOXORUBICIN HYDROCHLORIDE, LIPOSOMAL, NOT OTHERWISE SPECIFIED, 10 MG | DOXORUBICIN HCL LIPOSOME (1X10ML;SD,LATEX-FREE) 2 MG/1 ML | IV |
68001-0493-26 | Q2050 | INJECTION, DOXORUBICIN HYDROCHLORIDE, LIPOSOMAL, NOT OTHERWISE SPECIFIED, 10 MG | DOXORUBICIN HCL LIPOSOME (1X25ML;SD,LATEX-FREE) 2 MG/1 ML | IV |
68001-0504-54 | J9025 | INJECTION, AZACITIDINE, 1 MG | AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG | IJ |
68001-0506-30 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (PF,LATEX-FREE) 2 GM-0.25 GM | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3020 | Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each | Each | Y |
L3030 | Foot insert, removable, formed to patient foot, each | Each | Y |
L3031 | Foot, insert/plate, removable, addition to extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each | Each | Y |
L3040 | Foot, arch support, removable, premolded, longitudinal, each | Each | Y |
L3050 | Foot, arch support, removable, premolded, metatarsal, each | Each | Y |
L3060 | Foot, arch support, removable, premolded, longitudinal/metatarsal, each | Each | Y |
L3070 | Foot, arch support, nonremovable, attached to shoe, longitudinal, each | Each | Y |
L3080 | Foot, arch support, nonremovable, attached to shoe, metatarsal, each | Each | Y |
L3090 | Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each | Each | Y |
L3100 | Hallus-valgus night dynamic splint, prefabricated, off-the-shelf | Each | Y |
L3140 | Foot, abduction rotation bar, including shoes | Each | Y |
L3150 | Foot, abduction rotation bar, without shoes | Each | Y |
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