Codify By AAPC
HCPCS Range Drugs, Administered by Injection
1
Injection, tetracycline, up to 250 mg ( J0120 )
2
Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ( J0129 )
3
Injection abciximab, 10 mg ( J0130 )
4
Injection, acetaminophen, not otherwise specified,10 mg ( J0131 )
5
Injection, acetylcysteine, 100 mg ( J0132 )
6
Injection, acyclovir, 5 mg ( J0133 )
7
Injection, adalimumab, 20 mg ( J0135 )
8
Injection, Adrenalin, epinephrine, 0.1 mg ( J0171 )
9
Injection, aflibercept, 1 mg ( J0178 )
10
Injection, agalsidase beta, 1 mg ( J0180 )
11
Injection, biperiden lactate, per 5 mg ( J0190 )
12
Injection, alatrofloxacin mesylate, 100 mg ( J0200 )
13
Injection, alglucerase, per 10 units ( J0205 )
14
Injection, amifostine, 500 mg ( J0207 )
15
Injection, methyldopate HCl, up to 250 mg ( J0210 )
16
Injection, alefacept, 0.5 mg ( J0215 )
17
Injection, alglucosidase alfa, 10 mg, not otherwise specified ( J0220 )
18
Injection, alglucosidase alfa, (Lumizyme), 10 mg ( J0221 )
19
Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ( J0256 )
20
Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg ( J0257 )
21
Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ( J0270 )
22
Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ( J0275 )
23
Injection, amikacin sulfate, 100 mg ( J0278 )
24
Injection, aminophyllin, up to 250 mg ( J0280 )
25
Injection, amiodarone hydrochloride, 30 mg ( J0282 )
26
Injection, amphotericin B, 50 mg ( J0285 )
27
Injection, amphotericin B lipid complex, 10 mg ( J0287 )
28
Injection, amphotericin B cholesteryl sulfate complex, 10 mg ( J0288 )
29
Injection, amphotericin B liposome, 10 mg ( J0289 )
30
Injection, ampicillin sodium, 500 mg ( J0290 )
31
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ( J0295 )
32
Injection, amobarbital, up to 125 mg ( J0300 )
33
Injection, succinylcholine chloride, up to 20 mg ( J0330 )
34
Injection, anidulafungin, 1 mg ( J0348 )
35
Injection, anistreplase, per 30 units ( J0350 )
36
Injection, hydralazine HCl, up to 20 mg ( J0360 )
37
Injection, apomorphine hydrochloride, 1 mg ( J0364 )
38
Injection, aprotinin, 10, 000 kiu ( J0365 )
39
Injection, metaraminol bitartrate, per 10 mg ( J0380 )
40
Injection, chloroquine hydrochloride, up to 250 mg ( J0390 )
41
Injection, arbutamine HCl, 1 mg ( J0395 )
42
Injection, aripiprazole, intramuscular, 0.25 mg ( J0400 )
43
Injection, aripiprazole (abilify maintena), 1 mg ( J0401 )
44
Injection, azithromycin, 500 mg ( J0456 )
45
Injection, atropine sulfate, 0.01 mg ( J0461 )
46
Injection, dimercaprol, per 100 mg ( J0470 )
47
Injection, baclofen, 10 mg ( J0475 )
48
Injection, baclofen, 50 mcg for intrathecal trial ( J0476 )
49
Injection, basiliximab, 20 mg ( J0480 )
50
Injection, belatacept, 1 mg ( J0485 )
51
Injection, belimumab, 10 mg ( J0490 )
52
Injection, dicyclomine HCl, up to 20 mg ( J0500 )
53
Injection, benztropine mesylate, per 1 mg ( J0515 )
54
Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg ( J0520 )
55
Injection, penicillin G benzathine and penicillin G procaine, 100, 000 units ( J0558 )
56
Injection, penicillin G benzathine, 100, 000 units ( J0561 )
57
Buprenorphine implant, 74.2 mg ( J0570 )
58
Injection, bivalirudin, 1 mg ( J0583 )
59
Injection, onabotulinumtoxinA, 1 unit ( J0585 )
60
Injection, abobotulinumtoxinA, 5 Units ( J0586 )
61
Injection, rimabotulinumtoxinB, 100 units ( J0587 )
62
Injection, incobotulinumtoxinA, 1 unit ( J0588 )
63
Injection, buprenorphine hydrochloride, 0.1 mg ( J0592 )
64
Injection, Busulfan, 1 mg ( J0594 )
65
Injection, butorphanol tartrate, 1 mg ( J0595 )
66
Injection, C-1 esterase inhibitor (human), Berinert, 10 units ( J0597 )
67
Injection, C-1 esterase inhibitor (human), Cinryze, 10 units ( J0598 )
68
Injection, edetate calcium disodium, up to 1000 mg ( J0600 )
69
Injection, calcium glycerophosphate and calcium lactate, per 10 ml ( J0620 )
70
Injection, calcitonin salmon, up to 400 units ( J0630 )
71
Injection, calcitriol, 0.1 mcg ( J0636 )
72
Injection, caspofungin acetate, 5 mg ( J0637 )
73
Injection, canakinumab, 1 mg ( J0638 )
74
Injection, leucovorin calcium, per 50 mg ( J0640 )
75
Injection, levoleucovorin, not otherwise specified, 0.5 mg ( J0641 )
76
Injection, mepivacaine hydrochloride, per 10 ml ( J0670 )
77
Injection, cefazolin sodium, 500 mg ( J0690 )
78
Injection, cefepime hydrochloride, 500 mg ( J0692 )
79
Injection, cefoxitin sodium, 1 gm ( J0694 )
80
Injection, ceftriaxone sodium, per 250 mg ( J0696 )
81
Injection, sterile cefuroxime sodium, per 750 mg ( J0697 )
82
Injection, cefotaxime sodium, per gm ( J0698 )
83
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ( J0702 )
84
Injection, Caffeine Citrate, 5 mg ( J0706 )
85
Injection, cephapirin sodium, up to 1 gm ( J0710 )
86
Injection, ceftaroline fosamil, 10 mg ( J0712 )
87
Injection, ceftazidime, per 500 mg ( J0713 )
88
Injection, ceftizoxime sodium, per 500 mg ( J0715 )
89
Injection, centruroides immune f(ab)2, up to 120 milligrams ( J0716 )
90
Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ( J0717 )
91
Injection, chloramphenicol sodium succinate, up to 1 gm ( J0720 )
92
Injection, chorionic gonadotropin, per 1, 000 USP units ( J0725 )
93
Injection, clonidine hydrochloride, 1 mg ( J0735 )
94
Injection, cidofovir, 375 mg ( J0740 )
95
Injection, cilastatin sodium; imipenem, per 250 mg ( J0743 )
96
Injection, ciprofloxacin for intravenous infusion, 200 mg ( J0744 )
97
Injection, codeine phosphate, per 30 mg ( J0745 )
98
Injection, colistimethate sodium, up to 150 mg ( J0770 )
99
Injection, collagenase, clostridium histolyticum, 0.01 mg ( J0775 )
100
Injection, prochlorperazine, up to 10 mg ( J0780 )
101
Injection, corticorelin ovine triflutate, 1 microgram ( J0795 )
102
Injection, cosyntropin, 0.25 mg ( J0834 )
103
Injection, crotalidae polyvalent immune FAB(Ovine), up to 1 gram ( J0840 )
104
Injection, cytomegalovirus immune globulin intravenous (human), per vial ( J0850 )
105
Injection, daptomycin, 1 mg ( J0878 )
106
Injection, darbepoetin alfa, 1 microgram (non-ESRD use) ( J0881 )
107
Injection, darbepoetin alfa, 1 microgram (for ESRD on dialysis) ( J0882 )
108
Injection, epoetin alfa, (for non-ESRD use), 1000 units ( J0885 )
109
Injection, peginesatide, 0.1 mg (for ESRD on dialysis) ( J0890 )
110
Injection, decitabine, 1 mg ( J0894 )
111
Injection, deferoxamine mesylate, 500 mg ( J0895 )
112
Injection, denosumab, 1 mg ( J0897 )
113
Injection, brompheniramine maleate, per 10 mg ( J0945 )
114
Injection, depo-estradiol cypionate, up to 5 mg ( J1000 )
115
Injection, medroxyprogesterone acetate, 1 mg ( J1050 )
116
Injection, dexamethasone acetate, 1 mg ( J1094 )
117
Injection, dexamethasone sodium phosphate, 1 mg ( J1100 )
118
Injection, dihydroergotamine mesylate, per 1 mg ( J1110 )
119
Injection, acetazolamide sodium, up to 500 mg ( J1120 )
120
Injection, digoxin, up to 0.5 mg ( J1160 )
121
Injection, digoxin immune FAB(Ovine), per vial ( J1162 )
122
Injection, phenytoin sodium, per 50 mg ( J1165 )
123
Injection, hydromorphone, up to 4 mg ( J1170 )
124
Injection, dyphylline, up to 500 mg ( J1180 )
125
Injection, dexrazoxane hydrochloride, per 250 mg ( J1190 )
126
Injection, diphenhydramine HCl, up to 50 mg ( J1200 )
127
Injection, chlorothiazide sodium, per 500 mg ( J1205 )
128
Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml ( J1212 )
129
Injection, methadone HCl, up to 10 mg ( J1230 )
130
Injection, dimenhydrinate, up to 50 mg ( J1240 )
131
Injection, dipyridamole, per 10 mg ( J1245 )
132
Injection, Dobutamine hydrochloride, per 250 mg ( J1250 )
133
Injection, dolasetron mesylate, 10 mg ( J1260 )
134
Injection, dopamine HCl, 40 mg ( J1265 )
135
Injection, doripenem, 10 mg ( J1267 )
136
Injection, doxercalciferol, 1 mcg ( J1270 )
137
Injection, ecallantide, 1 mg ( J1290 )
138
Injection, eculizumab, 10 mg ( J1300 )
139
Injection, amitriptyline HCl, up to 20 mg ( J1320 )
140
Injection, enfuvirtide, 1 mg ( J1324 )
141
Injection, epoprostenol, 0.5 mg ( J1325 )
142
Injection, eptifibatide, 5 mg ( J1327 )
143
Injection, ergonovine maleate, up to 0.2 mg ( J1330 )
144
Injection, ertapenem sodium, 500 mg ( J1335 )
145
Injection, erythromycin lactobionate, per 500 mg ( J1364 )
146
Injection, estradiol valerate, up to 10 mg ( J1380 )
147
Injection, estrogen conjugated, per 25 mg ( J1410 )
148
Injection, ethanolamine oleate, 100 mg ( J1430 )
149
Injection, estrone, per 1 mg ( J1435 )
150
Injection, etidronate disodium, per 300 mg ( J1436 )
151
Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ( J1438 )
152
Fecal microbiota, live - jslm, 1 ml ( J1440 )
153
Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram ( J1442 )
154
Injection fluconazole, 200 mg ( J1450 )
155
Injection, fomepizole, 15 mg ( J1451 )
156
Injection, fomivirsen sodium, intraocular, 1.65 mg ( J1452 )
157
Injection, fosaprepitant, 1 mg ( J1453 )
158
Injection, foscarnet sodium, per 1000 mg ( J1455 )
159
Injection, gallium nitrate, 1 mg ( J1457 )
160
Injection, galsulfase, 1 mg ( J1458 )
161
Injection, immune globulin (Privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ( J1459 )
162
Injection, gamma globulin, intramuscular, 1 cc ( J1460 )
163
Injection, immune globulin (bivigam), 500 mg ( J1556 )
164
Injection, immune globulin, (Gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ( J1557 )
165
Injection, immune globulin (Hizentra), 100 mg ( J1559 )
166
Injection, gamma globulin, intramuscular, over 10 cc ( J1560 )
167
Injection, immune globulin, (Gamunex-C/Gammaked), non-lyophilized (e.g., liquid), 500 mg ( J1561 )
168
Injection, immune globulin (Vivaglobin), 100 mg ( J1562 )
169
Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ( J1566 )
170
Injection, immune globulin, (Octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ( J1568 )
171
Injection, immune globulin, (Gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ( J1569 )
172
Injection, ganciclovir sodium, 500 mg ( J1570 )
173
Injection, hepatitis B immune globulin (HepaGam B), intramuscular, 0.5 ml ( J1571 )
174
Injection, immune globulin, (Flebogamma/Flebogamma Dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ( J1572 )
175
Injection, hepatitis B immune globulin (HepaGam B), intravenous, 0.5 ml ( J1573 )
176
Injection, garamycin, gentamicin, up to 80 mg ( J1580 )
177
Injection, glatiramer acetate, 20 mg ( J1595 )
178
Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg ( J1599 )
179
Injection, gold sodium thiomalate, up to 50 mg ( J1600 )
180
Injection, golimumab, 1 mg, for intravenous use ( J1602 )
181
Injection, glucagon hydrochloride, per 1 mg ( J1610 )
182
Injection, gonadorelin hydrochloride, per 100 mcg ( J1620 )
183
Injection, granisetron hydrochloride, 100 mcg ( J1626 )
184
Injection, haloperidol, up to 5 mg ( J1630 )
185
Injection, haloperidol decanoate, per 50 mg ( J1631 )
186
Injection, hemin, 1 mg ( J1640 )
187
Injection, heparin sodium, (heparin lock flush), per 10 units ( J1642 )
188
Injection, heparin sodium, per 1000 units ( J1644 )
189
Injection, dalteparin sodium, per 2500 IU ( J1645 )
190
Injection, enoxaparin sodium, 10 mg ( J1650 )
191
Injection, fondaparinux sodium, 0.5 mg ( J1652 )
192
Injection, tinzaparin sodium, 1000 IU ( J1655 )
193
Injection, tetanus immune globulin, human, up to 250 units ( J1670 )
194
Injection, histrelin acetate, 10 micrograms ( J1675 )
195
Injection, hydrocortisone acetate, up to 25 mg ( J1700 )
196
Injection, hydrocortisone sodium phosphate, up to 50 mg ( J1710 )
197
Injection, hydrocortisone sodium succinate, up to 100 mg ( J1720 )
198
Injection, diazoxide, up to 300 mg ( J1730 )
199
Injection, ibandronate sodium, 1 mg ( J1740 )
200
Injection, ibuprofen, 100 mg ( J1741 )
201
Injection, ibutilide fumarate, 1 mg ( J1742 )
202
Injection, idursulfase, 1 mg ( J1743 )
203
Injection, icatibant, 1 mg ( J1744 )
204
Injection, infliximab, excludes biosimilar, 10 mg ( J1745 )
205
Injection, iron dextran, 50 mg ( J1750 )
206
Injection, iron sucrose, 1 mg ( J1756 )
207
Injection, imiglucerase, 10 units ( J1786 )
208
Injection, droperidol, up to 5 mg ( J1790 )
209
Injection, propranolol HCl, up to 1 mg ( J1800 )
210
Injection, droperidol and fentanyl Citrate, up to 2 ml ampule ( J1810 )
211
Injection, insulin, per 5 units ( J1815 )
212
Insulin for administration through DME (i.e., insulin pump) per 50 units ( J1817 )
213
Injection, interferon beta-1a, 30 mcg ( J1826 )
214
Injection interferon beta-1b, 0.25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ( J1830 )
215
Injection, itraconazole, 50 mg ( J1835 )
216
Injection, ketorolac tromethamine, per 15 mg ( J1885 )
217
Injection, cephalothin sodium, up to 1 gram ( J1890 )
218
Injection, lanreotide, 1 mg ( J1930 )
219
Injection, laronidase, 0.1 mg ( J1931 )
220
Injection, furosemide, up to 20 mg ( J1940 )
221
Injection, lepirudin, 50 mg ( J1945 )
222
Injection, leuprolide acetate (for depot suspension), per 3.75 mg ( J1950 )
223
Injection, levetiracetam, 10 mg ( J1953 )
224
Injection, levocarnitine, per 1 gm ( J1955 )
225
Injection, levofloxacin, 250 mg ( J1956 )
226
Injection, levorphanol tartrate, up to 2 mg ( J1960 )
227
Injection, hyoscyamine sulfate, up to 0.25 mg ( J1980 )
228
Injection, chlordiazepoxide HCl, up to 100 mg ( J1990 )
229
Injection, lidocaine HCl for intravenous infusion, 10 mg ( J2001 )
230
Injection, lincomycin HCl, up to 300 mg ( J2010 )
231
Injection, linezolid, 200 mg ( J2020 )
232
Injection, lorazepam, 2 mg ( J2060 )
233
Injection, mannitol, 25% in 50 ml ( J2150 )
234
Injection, mecasermin, 1 mg ( J2170 )
235
Injection, meperidine hydrochloride, per 100 mg ( J2175 )
236
Injection, meperidine and promethazine HCl, up to 50 mg ( J2180 )
237
Injection, meropenem, 100 mg ( J2185 )
238
Injection, methylergonovine maleate, up to 0.2 mg ( J2210 )
239
Injection, methylnaltrexone, 0.1 mg ( J2212 )
240
Injection, micafungin sodium, 1 mg ( J2248 )
241
Injection, midazolam hydrochloride, per 1 mg ( J2250 )
242
Injection, milrinone lactate, 5 mg ( J2260 )
243
Injection, minocycline hydrochloride, 1 mg ( J2265 )
244
Injection, morphine sulfate, up to 10 mg ( J2270 )
245
Injection, ziconotide, 1 microgram ( J2278 )
246
Injection, moxifloxacin, 100 mg ( J2280 )
247
Injection, nalbuphine hydrochloride, per 10 mg ( J2300 )
248
Injection, naloxone hydrochloride, per 1 mg ( J2310 )
249
Injection, naltrexone, depot form, 1 mg ( J2315 )
250
Injection, nandrolone decanoate, up to 50 mg ( J2320 )
251
Injection, natalizumab, 1 mg ( J2323 )
252
Injection, nesiritide, 0.1 mg ( J2325 )
253
Injection, octreotide, depot form for intramuscular injection, 1 mg ( J2353 )
254
Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ( J2354 )
255
Injection, oprelvekin, 5 mg ( J2355 )
256
Injection, omalizumab, 5 mg ( J2357 )
257
Injection, olanzapine, long-acting, 1 mg ( J2358 )
258
Injection, orphenadrine citrate, up to 60 mg ( J2360 )
259
Injection, ondansetron hydrochloride, per 1 mg ( J2405 )
260
Injection, oxymorphone HCl, up to 1 mg ( J2410 )
261
Injection, palifermin, 50 micrograms ( J2425 )
262
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ( J2426 )
263
Injection, pamidronate disodium, per 30 mg ( J2430 )
264
Injection, papaverine HCl, up to 60 mg ( J2440 )
265
Injection, oxytetracycline HCl, up to 50 mg ( J2460 )
266
Injection, palonosetron HCl, 25 mcg ( J2469 )
267
Injection, paricalcitol, 1 mcg ( J2501 )
268
Injection, pegaptanib sodium, 0.3 mg ( J2503 )
269
Injection, pegademase bovine, 25 IU ( J2504 )
270
Injection, pegloticase, 1 mg ( J2507 )
271
Injection, penicillin G procaine, aqueous, up to 600, 000 units ( J2510 )
272
Injection, pentastarch, 10% solution, 100 ml ( J2513 )
273
Injection, pentobarbital sodium, per 50 mg ( J2515 )
274
Injection, penicillin G potassium, up to 600, 000 units ( J2540 )
275
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ( J2543 )
276
Pentamidine isethionate, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per 300 mg ( J2545 )
277
Injection, promethazine HCl, up to 50 mg ( J2550 )
278
Injection, phenobarbital sodium, up to 120 mg ( J2560 )
279
Injection, plerixafor, 1 mg ( J2562 )
280
Injection, oxytocin, up to 10 units ( J2590 )
281
Injection, desmopressin acetate, per 1 mcg ( J2597 )
282
Injection, prednisolone acetate, up to 1 ml ( J2650 )
283
Injection, tolazoline HCl, up to 25 mg ( J2670 )
284
Injection, progesterone, per 50 mg ( J2675 )
285
Injection, fluphenazine decanoate, up to 25 mg ( J2680 )
286
Injection, procainamide HCl, up to 1 gm ( J2690 )
287
Injection, oxacillin sodium, up to 250 mg ( J2700 )
288
Injection, neostigmine methylsulfate, up to 0.5 mg ( J2710 )
289
Injection, protamine sulfate, per 10 mg ( J2720 )
290
Injection, protein C concentrate, intravenous, human, 10 IU ( J2724 )
291
Injection, protirelin, per 250 mcg ( J2725 )
292
Injection, pralidoxime chloride, up to 1 gm ( J2730 )
293
Injection, phentolamine mesylate, up to 5 mg ( J2760 )
294
Injection, metoclopramide HCl, up to 10 mg ( J2765 )
295
Injection, quinupristin/dalfopristin, 500 mg (150/350) ( J2770 )
296
Injection, ranibizumab, 0.1 mg ( J2778 )
297
Injection, rasburicase, 0.5 mg ( J2783 )
298
Injection, regadenoson, 0.1 mg ( J2785 )
299
Injection, Rho D immune globulin, human, minidose, 50 micrograms (250 IU) ( J2788 )
300
Injection, Rho D immune globulin, human, full dose, 300 micrograms (1500 IU) ( J2790 )
301
Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU ( J2791 )
302
Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU ( J2792 )
303
Injection, rilonacept, 1 mg ( J2793 )
304
Injection, risperidone (risperdal consta), 0.5 mg ( J2794 )
305
Injection, ropivacaine hydrochloride, 1 mg ( J2795 )
306
Injection, romiplostim, 10 micrograms ( J2796 )
307
Injection, methocarbamol, up to 10 ml ( J2800 )
308
Injection, sincalide, 5 micrograms ( J2805 )
309
Injection, theophylline, per 40 mg ( J2810 )
310
Injection, sargramostim (GM-CSF), 50 mcg ( J2820 )
311
Injection, secretin, synthetic, human, 1 microgram ( J2850 )
312
Injection, aurothioglucose, up to 50 mg ( J2910 )
313
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ( J2916 )
314
Injection, somatrem, 1 mg ( J2940 )
315
Injection, somatropin, 1 mg ( J2941 )
316
Injection, promazine HCl, up to 25 mg ( J2950 )
317
Injection, reteplase, 18.1 mg ( J2993 )
318
Injection, streptokinase, per 250, 000 IU ( J2995 )
319
Injection, alteplase recombinant, 1 mg ( J2997 )
320
Injection, streptomycin, up to 1 gm ( J3000 )
321
Injection, fentanyl Citrate, 0.1 mg ( J3010 )
322
Injection, sumatriptan succinate, 6 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ( J3030 )
323
Injection, taliglucerase alfa, 10 units ( J3060 )
324
Injection, pentazocine, 30 mg ( J3070 )
325
Injection, telavancin, 10 mg ( J3095 )
326
Injection, tenecteplase, 1 mg ( J3101 )
327
Injection, terbutaline sulfate, up to 1 mg ( J3105 )
328
Injection, teriparatide, 10 mcg ( J3110 )
329
Injection, chlorpromazine HCl, up to 50 mg ( J3230 )
330
Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ( J3240 )
331
Injection, tigecycline, 1 mg ( J3243 )
332
Injection, tirofiban HCl, 0.25mg ( J3246 )
333
Injection, trimethobenzamide HCl, up to 200 mg ( J3250 )
334
Injection, tobramycin sulfate, up to 80 mg ( J3260 )
335
Injection, tocilizumab, 1 mg ( J3262 )
336
Injection, torsemide, 10 mg/ml ( J3265 )
337
Injection, thiethylperazine maleate, up to 10 mg ( J3280 )
338
Injection, treprostinil, 1 mg ( J3285 )
339
Injection, triamcinolone acetonide, preservative free, 1 mg ( J3300 )
340
Injection, triamcinolone acetonide, not otherwise specified, 10 mg ( J3301 )
341
Injection, triamcinolone diacetate, per 5 mg ( J3302 )
342
Injection, triamcinolone hexacetonide, per 5 mg ( J3303 )
343
Injection, trimetrexate glucuronate, per 25 mg ( J3305 )
344
Injection, perphenazine, up to 5 mg ( J3310 )
345
Injection, triptorelin pamoate, 3.75 mg ( J3315 )
346
Injection, spectinomycin dihydrochloride, up to 2 gm ( J3320 )
347
Injection, urea, up to 40 gm ( J3350 )
348
Injection, urofollitropin, 75 IU ( J3355 )
349
Ustekinumab, for subcutaneous injection, 1 mg ( J3357 )
350
Injection, diazepam, up to 5 mg ( J3360 )
351
Injection, urokinase, 5000 IU vial ( J3364 )
352
Injection, IV, urokinase, 250, 000 IU vial ( J3365 )
353
Injection, vancomycin HCl, 500 mg ( J3370 )
354
Injection, velaglucerase alfa, 100 units ( J3385 )
355
Injection, verteporfin, 0.1 mg ( J3396 )
356
Injection, triflupromazine HCl, up to 20 mg ( J3400 )
357
Injection, hydroxyzine HCl, up to 25 mg ( J3410 )
358
Injection, thiamine HCl, 100 mg ( J3411 )
359
Injection, pyridoxine HCl, 100 mg ( J3415 )
360
Injection, vitamin B-12 cyanocobalamin, up to 1000 mcg ( J3420 )
361
Injection, phytonadione (vitamin K), per 1 mg ( J3430 )
362
Injection, voriconazole, 10 mg ( J3465 )
363
Injection, hyaluronidase, up to 150 units ( J3470 )
364
Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units) ( J3471 )
365
Injection, hyaluronidase, ovine, preservative free, per 1000 USP units ( J3472 )
366
Injection, hyaluronidase, recombinant, 1 USP unit ( J3473 )
367
Injection, magnesium sulfate, per 500 mg ( J3475 )
368
Injection, potassium chloride, per 2 mEq ( J3480 )
369
Injection, zidovudine, 10 mg ( J3485 )
370
Injection, ziprasidone mesylate, 10 mg ( J3486 )
371
Injection, zoledronic acid, 1 mg ( J3489 )
372
Unclassified drugs ( J3490 )
373
Edetate disodium, per 150 mg ( J3520 )
374
Nasal vaccine inhalation ( J3530 )
375
Drug administered through a metered dose inhaler ( J3535 )
376
Laetrile, amygdalin, vitamin B17 ( J3570 )
377
Unclassified biologics ( J3590 )
378
Infusion, normal saline solution , 1000 cc ( J7030 )
379
Infusion, normal saline solution, sterile (500 ml=1 unit) ( J7040 )
380
5% dextrose/normal saline (500 ml = 1 unit) ( J7042 )
381
Infusion, normal saline solution , 250 cc ( J7050 )
382
5% dextrose/water (500 ml = 1 unit) ( J7060 )
383
Infusion, D5W, 1000 cc ( J7070 )
384
Infusion, dextran 40, 500 ml ( J7100 )
385
Infusion, dextran 75, 500 ml ( J7110 )
386
Ringers lactate infusion, up to 1000 cc ( J7120 )
387
Hypertonic saline solution, 1 ml ( J7131 )
388
Injection, levothyroxine sodium, not otherwise specified, 10 mcg ( J0650 )
389
Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ( J0750 )
390
Injection, methylprednisolone acetate, 1 mg ( J1010 )
391
Injection, diclofenac sodium, 0.5 mg ( J1130 )
392
Injection, labetalol hydrochloride, 5 mg ( J1920 )
393
Injection, sebelipase alfa, 1 mg ( J2840 )
394
Injection, ocrelizumab, 1 mg ( J2350 )
395
Injection, dexamethasone 9 percent, intraocular, 1 microgram ( J1095 )
396
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ( J0153 )
397
Buprenorphine, oral, 1 mg ( J0571 )
398
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ( J0572 )
399
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ( J0573 )
400
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ( J0574 )
401
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ( J0575 )
402
Injection, epoetin beta, 1 microgram, (for ESRD on dialysis) ( J0887 )
403
Injection, epoetin beta, 1 microgram, (for Non ESRD use) ( J0888 )
404
Injection, testosterone cypionate, 1 mg ( J1071 )
405
Injection, elosulfase alfa, 1 mg ( J1322 )
406
Injection, ferric carboxymaltose, 1 mg ( J1439 )
407
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ( J2274 )
408
Injection, propofol, 10 mg ( J2704 )
409
Injection, testosterone enanthate, 1 mg ( J3121 )
410
Injection, testosterone undecanoate, 1 mg ( J3145 )
411
Injection, pasireotide long acting, 1 mg ( J2502 )
412
Injection, peramivir, 1 mg ( J2547 )
413
Injection, siltuximab, 10 mg ( J2860 )
414
Injection, tedizolid phosphate, 1 mg ( J3090 )
415
Injection, vedolizumab, intravenous, 1 mg ( J3380 )
416
5% dextrose in lactated ringers infusion, up to 1000 cc ( J7121 )
417
Injection, oritavancin (orbactiv), 10 mg ( J2407 )
418
Injection, immune globulin/hyaluronidase, (HYQVIA), 100 mg immuneglobulin ( J1575 )
419
Injection, isavuconazonium, 1 mg ( J1833 )
420
Injection, alemtuzumab, 1 mg ( J0202 )
421
Injection, C1 esterase inhibitor (recombinant), ruconest, 10 units ( J0596 )
422
Injection, ceftolozane 50 mg and tazobactam 25 mg ( J0695 )
423
Injection, ceftazidime and avibactam, 0.5 g/0.125 g ( J0714 )
424
Injection, dalbavancin, 5mg ( J0875 )
425
Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron ( J1443 )
426
Injection, tbo-filgrastim, 1 microgram ( J1447 )
427
Injection, argatroban, 1 mg (for non-ESRD use) ( J0883 )
428
Injection, argatroban, 1 mg (for ESRD on dialysis) ( J0884 )
429
Injection, mepolizumab, 1 mg ( J2182 )
430
Injection, reslizumab, 1 mg ( J2786 )
431
Injection, factor x, (human), 1 i.u. ( J7175 )
432
Injection, bezlotoxumab, 10 mg ( J0565 )
433
Cinacalcet, oral, 1 mg, (for ESRD on dialysis) ( J0604 )
434
Injection, etelcalcetide, 0.1 mg ( J0606 )
435
Injection, eteplirsen, 10 mg ( J1428 )
436
Injection, immune globulin (cuvitru), 100 mg ( J1555 )
437
Injection, granisetron, extended-release, 0.1 mg ( J1627 )
438
Injection, hydroxyprogesterone caproate, (makena), 10 mg ( J1726 )
439
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg ( J1729 )
440
Injection, nusinersen, 0.1 mg ( J2326 )
441
Ustekinumab, for intravenous injection, 1 mg ( J3358 )
442
Injection, aprepitant, 1 mg ( J0185 )
443
Injection, benralizumab, 1 mg ( J0517 )
444
Injection, cerliponase alfa, 1 mg ( J0567 )
445
Injection, burosumab-twza 1 mg ( J0584 )
446
Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ( J0599 )
447
Injection, crotalidae immune f(ab')2 (equine), 120 mg ( J0841 )
448
Injection, edaravone, 1 mg ( J1301 )
449
Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ( J1454 )
450
Injection, guselkumab, 1 mg ( J1628 )
451
Injection, ibalizumab-uiyk, 10 mg ( J1746 )
452
Loxapine for inhalation, 1 mg ( J2062 )
453
Injection, rolapitant, 0.5 mg ( J2797 )
454
Injection, tildrakizumab, 1 mg ( J3245 )
455
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ( J3304 )
456
Injection, triptorelin, extended-release, 3.75 mg ( J3316 )
457
Injection, vestronidase alfa-vjbk, 1 mg ( J3397 )
458
Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ( J3398 )
459
Unclassified drug or biological used for esrd on dialysis ( J3591 )
460
Injection, emicizumab-kxwh, 0.5 mg ( J7170 )
461
Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ( J2186 )
462
Riboflavin 5’-phosphate, ophthalmic solution, up to 3 ml ( J2787 )
463
Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron ( J1444 )
464
Injection, fremanezumab-vfrm, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ( J3031 )
465
Injection, risperidone, (perseris), 0.5 mg ( J2798 )
466
Injection, omadacycline, 1 mg ( J0121 )
467
Injection, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ( J0593 )
468
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ( J1096 )
469
phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ( J1097 )
470
Injection, plazomicin, 5 mg ( J0291 )
471
Injection, Patisiran, 0.1 mg ( J0222 )
472
Injection, ravulizumab-cwvz, 10 mg ( J1303 )
473
Injection, aripiprazole lauroxil, (aristada initio), 1 mg ( J1943 )
474
Injection, aripiprazole lauroxil, (aristada), 1 mg ( J1944 )
475
Injection, romosozumab-aqqg, 1 mg ( J3111 )
476
Injection, eravacycline, 1 mg ( J0122 )
477
Injection, levoleucovorin (khapzory), 0.5 mg ( J0642 )
478
Injection, brolucizumab-dbll, 1 mg ( J0179 )
479
Injection, givosiran, 0.5 mg ( J0223 )
480
Injection, deoxycholic acid, 1 mg ( J0591 )
481
Injection, lefamulin, 1 mg ( J0691 )
482
Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ( J0742 )
483
Injection, crizanlizumab-tmca, 5 mg ( J0791 )
484
Injection, luspatercept-aamt, 0.25 mg ( J0896 )
485
Injection, cetirizine hydrochloride, 0.5 mg ( J1201 )
486
Injection, golodirsen, 10 mg ( J1429 )
487
Injection, immune globulin (xembify), 100 mg ( J1558 )
488
Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes ( J3399 )
489
Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ( J7169 )
490
Injection, ferric derisomaltose, 10 mg ( J1437 )
491
Injection, brexanolone, 1 mg ( J1632 )
492
Injection, meloxicam, 1 mg ( J1738 )
493
Injection, eptinezumab-jjmr, 1 mg ( J3032 )
494
Injection, teprotumumab-trbw, 10 mg ( J3241 )
495
Injection, inebilizumab-cdon, 1 mg ( J1823 )
496
Injection, viltolarsen, 10 mg ( J1427 )
497
Injection, immune globulin (asceniv), 500 mg ( J1554 )
498
Injection, lumasiran, 0.5 mg ( J0224 )
499
Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ( J1951 )
500
Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ( J7168 )
501
Injection, cefiderocol, 10 mg ( J0699 )
502
Injection, cabotegravir and rilpivirine, 2mg/3mg ( J0741 )
503
Injection, evinacumab-dgnb, 5mg ( J1305 )
504
Injection, casimersen, 10 mg ( J1426 )
505
Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron ( J1445 )
506
Injection, trilaciclib, 1mg ( J1448 )
507
Injection, oritavancin (kimyrsa), 10 mg ( J2406 )
508
Injection, aducanumab-avwa, 2 mg ( J0172 )
509
Leuprolide injectable, camcevi, 1 mg ( J1952 )
510
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ( J2506 )
511
Injection, remdesivir, 1 mg ( J0248 )
512
Injection, avalglucosidase alfa-ngpt, 4 mg ( J0219 )
513
Injection, anifrolumab-fnia, 1 mg ( J0491 )
514
Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ( J0879 )
515
Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ( J0739 )
516
Injection, inclisiran, 1 mg ( J1306 )
517
Injection, immune globulin (cutaquig), 100 mg ( J1551 )
518
Injection, tezepelumab-ekko, 1 mg ( J2356 )
519
Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ( J2779 )
520
Injection, plasminogen, human-tvmh, 1 mg ( J2998 )
521
Injection, triamcinolone acetonide (xipere), 1 mg ( J3299 )
522
Injection, sutimlimab-jome, 10 mg ( J1302 )
523
Injection, lanreotide, (cipla), 1 mg ( J1932 )
524
Injection, faricimab-svoa, 0.1 mg ( J2777 )
525
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ( J0134 )
526
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ( J0136 )
527
Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg ( J0173 )
528
Injection, vutrisiran, 1 mg ( J0225 )
529
Injection, amiodarone hydrochloride (nexterone), 30 mg ( J0283 )
530
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ( J0689 )
531
Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ( J0701 )
532
Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ( J0703 )
533
Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ( J0877 )
534
Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ( J0891 )
535
Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ( J0892 )
536
Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ( J0893 )
537
Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ( J0898 )
538
Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ( J0899 )
539
Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ( J1456 )
540
Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ( J1574 )
541
Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ( J1611 )
542
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ( J1643 )
543
Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg ( J1954 )
544
Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ( J2021 )
545
Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ( J2184 )
546
Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ( J2247 )
547
Injection, midazolam hydrochloride (wg critical care), not therapeutically equivalent to j2250, per 1 mg ( J2251 )
548
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ( J2272 )
549
Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ( J2281 )
550
Injection, naloxone hydrochloride (zimhi), 1 mg ( J2311 )
551
Injection, risankizumab-rzaa, intravenous, 1 mg ( J2327 )
552
Injection, chloroprocaine hydrochloride, per 1 mg ( J2401 )
553
Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg ( J2402 )
554
Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg ( J3244 )
555
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg ( J3371 )
556
Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg ( J3372 )
557
Injection, sodium thiosulfate (pedmark), 100 mg ( J0208 )
558
Injection, olipudase alfa-rpcp, 1 mg ( J0218 )
559
Injection, calcium gluconate, not otherwise specified, 10 mg ( J0612 )
560
Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ( J0613 )
561
Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ( J1411 )
562
Injection, eflapegrastim-xnst, 0.1 mg ( J1449 )
563
Injection, spesolimab-sbzo, 1 mg ( J1747 )
564
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ( J2403 )
565
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ( J0137 )
566
Injection, allopurinol sodium, 1 mg ( J0206 )
567
Injection, alfentanil hydrochloride, 500 micrograms ( J0216 )
568
Injection, aztreonam, 100 mg ( J0457 )
569
Injection, bupivicaine, not otherwise specified, 0.5 mg ( J0665 )
570
Injection, clindamycin phosphate, 300 mg ( J0736 )
571
Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ( J0737 )
572
Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ( J1576 )
573
Injection, esmolol hydrochloride, 10 mg ( J1805 )
574
Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ( J1806 )
575
Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ( J1811 )
576
Insulin (fiasp), per 5 units ( J1812 )
577
Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ( J1813 )
578
Insulin (lyumjev), per 5 units ( J1814 )
579
Injection, metronidazole, 10 mg ( J1836 )
580
Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ( J1921 )
581
Injection, furosemide (furoscix), 20 mg ( J1941 )
582
Injection, lenacapavir, 1 mg ( J1961 )
583
Injection, remimazolam, 1 mg ( J2249 )
584
Injection, nitroglycerin, 5 mg ( J2305 )
585
Injection, ublituximab-xiiy, 1mg ( J2329 )
586
Injection, phenylephrine hydrochloride, 20 micrograms ( J2371 )
587
Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ( J2372 )
588
Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ( J2427 )
589
Injection, phenobarbital sodium (sezaby), 1 mg ( J2561 )
590
Injection, vasopressin, 1 unit ( J2598 )
591
Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ( J2599 )
592
Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms ( J2806 )
593
Injection, lecanemab-irmb, 1 mg ( J0174 )
594
Injection, rezafungin, 1 mg ( J0349 )
595
Injection, corticotropin (acthar gel), up to 40 units ( J0801 )
596
Injection, corticotropin (ani), up to 40 units ( J0802 )
597
Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ( J0874 )
598
Daprodustat, oral, 1 mg, (for esrd on dialysis) ( J0889 )
599
Injection, olanzapine, 0.5 mg ( J2359 )
600
Injection, pegcetacoplan, intravitreal, 1 mg ( J2781 )
601
Injection, amisulpride, 1 mg ( J0184 )
602
Injection, velmanase alfa-tycv, 1 mg ( J0217 )
603
Injection, artesunate, 1 mg ( J0391 )
604
Injection, aripiprazole (abilify asimtufii), 1 mg ( J0402 )
605
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ( J0688 )
606
Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ( J0751 )
607
Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified ( J0799 )
608
Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ( J0873 )
609
Dexmedetomidine, oral, 1 mcg ( J1105 )
610
Injection, tofersen, 1 mg ( J1304 )
611
Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes ( J1412 )
612
Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ( J1413 )
613
Injection, glycopyrrolate, 0.1 mg ( J1596 )
614
Injection, bumetanide, 0.5 mg ( J1939 )
615
Injection, nicardipine, 0.1 mg ( J2404 )
616
Injection, pegunigalsidase alfa-iwxj, 1 mg ( J2508 )
617
Injection, fluphenazine hcl, 1.25 mg ( J2679 )
618
Injection, risperidone (uzedy), 1 mg ( J2799 )
619
Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml ( J3401 )
620
Injection, hydroxocobalamin, intramuscular, 10 mcg ( J3425 )
621
Injection, aflibercept hd, 1 mg ( J0177 )
622
Injection, sodium thiosulfate (hope), 100 mg ( J0209 )
623
Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ( J0577 )
624
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ( J0578 )
625
Injection, daxibotulinumtoxina-lanm, 1 unit ( J0589 )
626
Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ( J0651 )
627
Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ( J0652 )
628
Miglustat, oral, 65 mg ( J1202 )
629
Injection, cipaglucosidase alfa-atga, 5 mg ( J1203 )
630
Injection, elranatamab-bcmm, 1 mg ( J1323 )
631
Injection, fosaprepitant (focinvez), 1 mg ( J1434 )
632
Injection, motixafortide, 0.25 mg ( J2277 )
633
Injection, avacincaptad pegol, 0.1 mg ( J2782 )
634
Injection, risperidone (rykindo), 0.5 mg ( J2801 )
635
Injection, methylprednisolone sodium succinate, 5 mg ( J2919 )
636
Injection, talquetamab-tgvs, 0.25 mg ( J3055 )
637
Injection, hydroxocobalamin, intravenous, 25 mg ( J3424 )
638
Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ( J7165 )
639
Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ( J0211 )
640
Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ( J0687 )
641
Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ( J0872 )
642
Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ( J0911 )
643
Injection, glycopyrrolate (glyrx-pf), 0.1 mg ( J1597 )
644
Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ( J1598 )
645
Injection, infliximab-dyyb (zymfentra), 10 mg ( J1748 )
646
Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ( J2183 )
647
Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ( J2246 )
648
Injection, mirikizumab-mrkz, 1 mg ( J2267 )
649
Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ( J2373 )
650
Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to j2469, 25 micrograms ( J2468 )
651
Injection, pantoprazole sodium, 40 mg ( J2470 )
652
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ( J2471 )
653
Injection, secukinumab, intravenous, 1 mg ( J3247 )
654
Injection, toripalimab-tpzi, 1 mg ( J3263 )
655
Injection, betibeglogene autotemcel, per treatment ( J3393 )
656
Injection, lovotibeglogene autotemcel, per treatment ( J3394 )
657
Injection, adamts13, recombinant-krhn, 10 iu ( J7171 )