Intravenous administration includes all methods, such as gravity infusion, injections, and timed pushes. The ‘VAR’ posting denotes various routes of administration and is used for drugs that are commonly administered into joints, cavities, tissues, or topical applications, in addition to other parenteral administrations. Listings posted with ‘OTH’ indicate other administration methods, such as suppositories or catheter injections.
Name | Optional Text | Dose | Method | Hcpcs Codes |
---|---|---|---|---|
Abatacept | 10 mg | IV | J0129 | |
Abbokinase, | see Urokinase | |||
Abbokinase, Open Cath | see Urokinase | |||
Abciximab | 10 mg | IV | J0130 | |
Abelcet | see Amphotericin B Lipid Complex | |||
ABLC | see Amphotericin B | |||
AbobotulinumtoxintypeA | 5 units | IM | J0586 | |
Acetaminophen | 10 mg | IV | J0131 | |
Acetazolamide sodium | up to 500 mg | IM, IV | J1120 | |
Acetylcysteine, Injection | 100 mg | IV | J0132 | |
Acetylcysteine, unit dose form | per gram | INH | J7604 , J7608 | |
Achromycin | see Tetracycline | |||
Actemra | see Tocilizumab | |||
ACTH | see Corticotropin | |||
Acthar | see Corticotropin | |||
Actimmune | see Interferon gamma 1-B | |||
Activase | see Alteplase recombinant | |||
Acyclovir | 5 mg | J0133 | ||
Adalimumab | 20 mg | SC | J0135 | |
Adcetis | see Brentuximab Vedotin | |||
Adenocard | see Adenosine | |||
Adenoscan | see Adenosine | |||
Adenosine | 1 mg | IV | J0153 | |
Ado-trastuzumab Emtansine | 1 mg | IV | J9354 | |
Adrenalin, Chloride | see Adrenalin | 0.1 mg | SC, IM | J0171 |
Adriamycin PFS | see Doxorubicin HCl | |||
Adriamycin RDF | see Doxorubicin HCl | |||
Adrucil | see Fluorouracil | |||
Aflibercept | 1 mg | OTH | J0178 | |
Agalsidase beta | 1 mg | IV | J0180 | |
Aggrastat | see Tirofiban hydrochloride | |||
A-hydroCort | see Hydrocortisone sodium phosphate | |||
Akineton, | see Biperiden | |||
Alatrofloxacin mesylate, Injection | 100 mg | IV | J0200 | |
Albuterol | 0.5 mg | INH | J7620 | |
Albuterol, concentrated form | 1 mg | INH | J7610 , J7611 | |
Albuterol, unit dose form | 1 mg | INH | J7609 , J7613 | |
Aldesleukin | per single use vial | IM, IV | J9015 | |
Aldomet | see Methyldopate | HCl | ||
Alefacept | 0.5 mg | IM, IV | J0215 | |
Alferon N | see Interferon alfa-n3 | |||
Alglucerase | per 10 units | IV | J0205 | |
Alglucosidase alfa | 10 mg | IV | J0220 , J0221 | |
Alkaban-AQ | see Vinblastine sulfate | |||
Alkeran | see Melphalan oral human | 10 mg | IV | J0256 , J0257 |
Alphanate | J7186 | |||
Alprostadil, Injection | 1.25 mcg | OTH | J0270 | |
Alprostadil, urethral suppository | OTH | J0275 | ||
Alteplase recombinant | 1 mg | IV | J2997 | |
Alupent | see Metaproterenol sulfate or Metaproterenol compounded | |||
Amcort | see Triamcinolone diacetate | |||
A-methaPred | see Methylprednisolone sodium succinate | |||
Amgen | see Interferon alphacon-1 | |||
Amifostine | 500 mg | IV | J0207 | |
Amikacin sulfate | 100 mg | J0278 | ||
Aminolevalinic acid Hcl | unit dose (354 mg) | OTH | J7308 | |
Aminolevulinic acid Hcl 10% Gel | 10 mg | OTH | J7345 | |
Aminolevulinate | 1 gm | OTH | J7309 | |
Aminophylline/Aminophyllin | up to 250 mg | IV | J0280 | |
Amiodarone HCl | 30 mg | IV | J0282 | |
Amitriptyline HCl | up to 20 mg | IM | J1320 | |
Amobarbital | up to 125 mg | IM, IV | J0300 | |
Amphocin | "see Amphotericin B""" | |||
Amphotericin B | 50 mg | IV | J0285 | |
Amphotericin B, lipid complex | 10 mg | IV | J0287 , J0289 | |
Ampicillin sodium | up to 500 mg | IM, IV | J0290 | |
Ampicillin sodium/sulbactam sodium | per 1.5 gm | IM, IV | J0295 | |
Amygdalin | see Laetrile Amygdalin | vitamin B-17 Amytal"" | ""see Amobarbital""" | |
Anabolin LA 100 | see Nandrolone decanoate | |||
Anadulafungin | 1 mg | IV | J0348 | |
Anascorp | see Centruroides Immune F(ab) | |||
Ancef | see Cefazolin sodium | |||
Andrest 90-4 | see Testosterone enanthate and estradiol valerate | |||
Andro-Cyp | see Testosterone cypionate | |||
Andro-Cyp 200 | see Testosterone cypionate | |||
Andro L.A. 200 | see Testosterone enanthate | |||
Andro-Estro 90-4 | see Testosterone enanthate and estradiol valerate | |||
Andro/Fem | see Testosterone cypionate and estradiol cypionate | |||
Androgyn L.A. | see Testosterone enanthate and estradiol valerate | |||
Androlone-50 | see Nandrolone phenpropionate | |||
Androlone-D 100 | see Nandrolone | |||
Andronaq-50 | see Testosterone suspension | |||
Andronaq-LA | see Testosterone cypionate | |||
Andronate-200 | see Testosterone cypionate | |||
Andronate-100 | see Testosterone cypionate | |||
Andropository 100 | see Testosterone enanthate | |||
Andryl 200 | see Testosterone enanthate | |||
Anectine | see Succinylcholine chloride | |||
Anergan 25 | see Promethazine HCl | |||
Anergan 50 | see Promethazine HCl | |||
Anistreplase | 30 units | IV | J0350 | |
Anti-Inhibitor | per IU | IV | J7198 | |
Antispas | see Dicyclomine HCl | |||
Antithrombin III (human) | per IU | IV | J7197 | |
Antithrombin recombinant | 50 IU | IV | J7196 | |
Anzemet | see Dolasetron mesylate Injection | |||
A.P.L. | see Chorionic gonadotropin | |||
Apomorphine Hydrochloride | 1 mg | SC | J0364 | |
Aprepitant | 1 mg | IV | J0185 | |
Apresoline | see Hydralazine HCl | |||
Aprotinin | 10,000 kiu | J0365 | ||
AquaMEPHYTON | see Vitamin K | |||
Aralen | see Chloroquine HCl | |||
Aramine | see Metaraminol | |||
Aranesp | see Darbepoetin Alfa | |||
Arbutamine | 1 mg | IV | J0395 | |
Arcalyst | see Rilanocept | |||
Aredia | see Pamidronate disodium | |||
Arfonad | see Trimethaphan camsylate | |||
Arformoterol tartrate | 15 mcg | INH | J7605 | |
Argatroban (for non-esrd use) | 1 mg | IV | J0883 | |
(for esrd use) | 1 mg | IV | J0884 | |
Aridol | see Mannitol | |||
Aripiprazole | 0.25 mg | IM | J0400 | |
Aripiprazole, extended release | 1 mg | IV | J0401 | |
Aripiprazole lauroxil (aristada) | 1 mg | IV | J1944 | |
Aripiprazole lauroxil (aristada initio) | 1 mg | IV | J1943 | |
Aripiprazole lauroxil | 1 mg | IV | J1942 | |
Aristocort Forte | see Triamcinolone diacetate | |||
Aristocort Intralesional | see Triamcinolone diacetate | |||
Aristospan Intra-Articular, | see Triamcinolone hexacetonide | |||
Aristospan Intralesional | see Triamcinolone hexacetonide | |||
Arrestin | see Trimethobenzamide HCl | |||
Arsenic trioxide | 1 mg | IV | J9017 | |
Arzerra | see Ofatumumab | |||
Asparaginase | 1,000 units | IV, IM | J9019 | |
Astramorph PF | see Morphine sulfate | |||
Atezolizumab | 10 mg | IV | J9022 | |
Atgam | see Lymphocyte immune globulin | |||
Ativan | see Lorazepam | |||
Atropine, concentrated form | per mg | INH | J7635 | |
Atropine, unit dose form | per mg | INH | J7636 | |
Atropine sulfate | 0.01 mg | IV, IM, SC | J0461 | |
Atrovent | see Ipratropium | |||
Atryn | see Antithrombin recombinant | |||
Aurothioglucose | up to 50 mg | IM | J2910 | |
Autologous cultured chondrocytes implant | OTH | J7330 | ||
Autoplex T | see Hemophilia clotting factors | |||
Avelumab | 10 mg | IV | J9023 | |
Avonex | see Interferon beta-1a | |||
Azacitidine | 1 mg | SC | J9025 | |
Azathioprine | 50 mg | ORAL | J7500 | |
Azathioprine, parenteral | 100 mg | IV | J7501 | |
Azithromycin, dihydrate | 1 gm | ORAL | Q0144 | |
Azithromycin, injection | 500 mg | IV | J0456 | |
Baclofen | 10 mg | IT | J0475 | |
Baclofen for intrathecal trial | 50 mcg | OTH | J0476 | |
Bactocill | see Oxacillin sodium | |||
BAL in oil | see Dimercaprol | |||
Banflex | see Orphenadrine citrate | |||
Basiliximab | 20 mg | J0480 | ||
BCG live intravesical instillation | 1 mg | OTH | J9030 | |
BCG (Bacillus Calmette and Guérin), live | per vial instillation | IV | J9031 | |
Beclomethasone inhalation solution, unit dose form | per mg | INH | J7622 | |
Belatacept | 1 mg | IV | J0485 | |
Belimumab | 10 mg | IV | J0490 | |
Belinostat | 10 mg | IV | J9032 | |
Bena-D 10 | see Diphenhydramine | HCl | ||
Bena-D 50 | see Diphenhydramine | HCl | ||
Benadryl | see Diphenhydramine HCl | |||
Benahist 10 | see Diphenhydramine HCl | |||
Benahist 50 | see Diphenhydramine HCl | |||
Ben-Allergin-50 | see Diphenhydramine | HCl | ||
Bendamustine HCl (Treanda) | 1 mg | IV | J9033 | |
Bendamustine HCl (Bendeka) | 1 mg | IV | J9034 | |
Bendamustine HCl (Belrapzo/bendamustine) | 1 mg | IV | J9036 | |
Benefix | see Factor IX recombinant | |||
Benlysta | see Belimumab | |||
Benoject-10 | see Diphenhydramine HCl | |||
Benoject-50 | see Diphenhydramine HCl | |||
Bentyl | see Dicyclomine | |||
Benralizumab | 1 mg | IV | J0517 | |
Benztropine mesylate | per 1 mg | IM, IV | J0515 | |
Berinert | see C-1 esterase inhibitor | |||
Berubigen | see Vitamin B-12 cyanocobalamin | |||
Beta amyloid | per study dose | OTH | A9599 | |
Betalin 12 | see Vitamin B-12 cyanocobalamin | |||
Betameth | see Betamethasone sodium phosphate | |||
Betamethasone acetate | ||||
& betamethasone sodium phosphate | per 3 mg | IM | J0702 | |
Betamethasone inhalation solution, unit dose form per mg | INH | J7624 | ||
Betaseron | see Interferon beta-1b | |||
Bethanechol chloride | up to 5 mg | SC | J0520 | |
Bevacizumab | 10 mg | IV | J9035 | |
Bevacizumab-awwb | 10 mg | IV | Q5107 | |
Bevacizumab- bvzr (Zirabev) | 10 mg | IV | Q5118 | |
Beziotoxumab | 10 mg | IV | J0565 | |
Bicillin L-A | see Penicillin G benzathine | |||
Bicillin C-R 900/300 | see Penicillin G procaine and penicillin G benzathine | |||
Bicillin C-R | see Penicillin G benzathine and penicillin G procaine | |||
BiCNU | see Carmustine | |||
Biperiden lactate | per 5 mg | IM, IV | J0190 | |
Bitolterol mesylate,concentrated form | per mg | INH | J7628 | |
Bitolterol mesylate,unit dose form | per mg | INH | J7629 | |
Bivalirudin | 1 mg | IV | J0583 | |
Blenoxane | see Bleomycin sulfate | |||
Bleomycin sulfate | 15 units | IM, IV, SC | J9040 | |
Blinatumomab | 1 microgram | IV | J9039 | |
Bortezomib | 0.1 mg | IV | J9041 | |
Bortezomib, not otherwise specified | 0.1 mg | IV | J9044 | |
Botox | see OnabotulinumtoxinA | |||
Brentuximab Vedotin | 1 mg | IV | J9042 | |
Brethine | see Terbutaline sulfate or Terbutaline compounded | |||
Bricanyl Subcutaneous | see Terbutaline sulfate | |||
Brolucizumab- dbll | 1 mg | OTH | J0179 | |
Brompheniramine maleate | per 10 mg | IM, SC, IV | J0945 | |
Bronkephrine | see Ethylnorepinephrine | HCl | ||
Bronkosol | see Isoetharine HCl | |||
Budesonide inhalation solution, concentrated form0.25 mg | INH | J7633 , J7634 | ||
Budesonide inhalation solution, unit dose form | 0.5 mg | INH | J7626 , J7627 | |
Buprenorphine Hydrochloride | 0.1 mg | IM | J0592 | |
Buprenorphine/Naloxone | 1 mg | ORAL | J0571 | |
Buprenorphine/Naloxone | <=3 mg | ORAL | J0572 | |
Buprenorphine/Naloxone | >3 mg but <=6 mg | ORAL | J0573 | |
Buprenorphine/Naloxone | >6 mg but <=10 mg | ORAL | J0574 | |
Buprenorphine/Naloxone | >10 mg | ORAL | J0575 | |
Burenorphine extended release | <=100 mg | ORAL | Q9991 | |
Burenorphine extended release | >100 mg | ORAL | Q9992 | |
Burosumab-twza | 1 mg | IV | J0584 | |
Busulfan | 1 mg | IV | J0594 | |
Busulfan | 2 mg | ORAL | J8510 | |
Butorphanol tartrate | 1 mg | J0595 | ||
C1 Esterase Inhibitor | 10 units | IV | J0596 , J0599 | |
Cabazitaxel | 1 mg | IV | J9043 | |
Cabergoline | .25 mg | ORAL | J8515 | |
Cafcit | see Caffeine citrate | |||
Caffeine citrate | 5 mg | IV | J0706 | |
Caine-1 | see Lidocaine Hcl | |||
Caine-2 | see Lidocaine HCl | |||
Calaspargase pegol – mknl | 10 units | IV | J9118 | |
Calcijex | see Calcitriol | |||
Calcimar | see Calcitonin-salmon | |||
Calcitonin-salmon | up to 400 units | SC, IM | J0630 | |
Calcitriol | 0.1 mcg | IM | J0636 | |
Calcium Disodium Versenate | see Edetate calcium disodium | |||
Calcium gluconate | per 10 ml | IV | J0610 | |
Calcium glycerophosphate & calcium lactate | per 10 ml | IM, SC | J0620 | |
Caldolor | see Ibuprofen | |||
Calphosan | see Calcium glycerophosphate and calcium lactate | |||
Camptosar | see Irinotecan | |||
Canakinumab | 1 mg | SC | J0638 | |
Capecitabine | 150 mg | ORAL | J8520 | |
Capecitabine | 500 mg | ORAL | J8521 | |
Capsaicin patch | per sq cm | OTH | J7336 | |
Carbidopa 5 mg/levodopa 20 mg enteral suspension | IV | J7340 | ||
Carbocaine with Neo-Cobefrin | see Mepivacaine | |||
Carbocaine | see Mepivacaine | |||
Carboplatin | 50 mg | IV | J9045 | |
Carfilzomib | 1 mg | IV | J9047 | |
Carmustine | 100 mg | IV | J9050 | |
Carnitor | see Levocarnitine | |||
Carticel | see Autologous cultured chondrocytes | |||
Caspofungin acetate | 5 mg | IV | J0637 | |
Cayston | see Aztreonam | |||
Cefadyl | see Cephapirin Sodium | |||
Cefazolin sodium | 500 mg | IV, IM | J0690 | |
Cefepime hydrochloride | 500 mg | IV | J0692 | |
Cefizox | see Ceftizoxime sodium | |||
Cefotaxime sodium | per 1 g | IV, IM | J0698 | |
Cefoxitin sodium | 1 g | IV, IM | J0694 | |
Ceftaroline fosamil | 1 mg | J0712 | ||
Ceftazidime | per 500 mg | IM, IV | J0713 | |
Ceftazidime and avibactam | 0.5 g/0.125 g | IV | J0714 | |
Ceftizoxime sodium | per 500 mg | IV, IM | J0715 | |
Ceftriaxone sodium | per 250 mg | IV, IM | J0696 | |
Ceftolozane 50 mg and tazobactam 25 mg | IV | J0695 | ||
Cefuroxime sodium, sterile | per 750 mg | IM, IV | J0697 | |
Celestone Soluspan | see Betamethasone acetate | |||
and betamethasone sodium phosphate | ||||
CellCept | see Mycophenolate mofetil | |||
Cel-U-Jec | see Betamethasone sodium phosphate | |||
Cenacort Forte | see Triamcinolone diacetate | |||
Cenacort A-40 | see Triamcinolone acetonide | |||
Centruroides Immune F(ab) | up to 120 mg | IV | J0716 | |
Cephalothin sodium | up to 1 g | IM, IV | J1890 | |
Cephapirin sodium | up to 1 g | IV, IM | J0710 | |
Ceredase | see Alglucerase | |||
Cerliponase alfa | 1 mg | IV | J0567 | |
Certolizumab pegol | 1 mg | SC | J0717 | |
Cerubidine | see Daunorubicin HCl | |||
Cetuximab | 10 mg | IV | J9055 | |
Chealamide | see Endrate ethylenediamine-tetra-acetic acid | |||
Chloramphenicol sodium succinate | up to 1 g | IV | J0720 | |
Chlordiazepoxide HCl | up to 100 mg | IM, IV | J1990 | |
Chloromycetin Sodium Succinate | see Chloramphenicol sodium succinate | |||
Chloroprocaine HCl | per 30 ml | VAR | J2400 | |
Chlorpromazine | 5 mg | ORAL | Q0161 | |
Chloroquine HCl | up to 250 mg | IM | J0390 | |
Chlorothiazide sodium | per 500 mg | IV | J1205 | |
Chlorpromazine HCl | up to 50 mg | IM, IV | J3230 | |
Chorex-5 | see Chorionic gonadotropin | |||
Chorex-10 | see Chorionic gonadotropin | |||
Chorignon | see Chorionic gonadotropin | |||
Chorionic gonadotropin | per 1,000 USP units | IM | J0725 | |
Choron 10 | see Chorionic gonadotropin | |||
Cidofovir | 375 mg | IV | J0740 | |
Cilastatin sodium, imipenem | per 250 mg | IV, IM | J0743 | |
Cimzia | see Certolizumab pegol | ORAL | Q4079 | |
Cinacacet | ||||
Cinryze | see C1 Esterase Inhibitor | |||
Cipro IV | see Ciprofloxacin | |||
Ciprofloxacin | 200 mg | IV | J0706 | |
octic suspension | 6 mg | OTH | J7342 | |
Cisplatin, powder or solution | per 10 mg | IV | J9060 | |
Cladribine | per mg | IV | J9065 | |
Claforan | see Cefotaxime sodium | |||
Clofarabine | 1 mg | IV | J9027 | |
Clonidine Hydrochloride | 1 mg | epidural | J0735 | |
Cobex | see Vitamin B-12 cyanocobalamin | |||
Codeine phosphate | per 30 mg | IM, IV, SC | J0745 | |
Codimal-A | see Brompheniramine maleate | |||
Cogentin | see Benztropine mesylate | |||
Collagenase, Clostridium Histolyticum | 0.01 mg | OTH | J0775 | |
Colistimethate sodium | up to 150 mg | IM, IV | J0770 | |
Coly-Mycin M | see Colistimethate sodium | |||
Compa-Z | see Prochlorperazine | |||
Copanlisib | 1 mg | IV | J9057 | |
Compazine | see Prochlorperazine | |||
Compounded drug, not otherwise classified | J7999 | |||
Cophene-B | see Brompheniramine maleate | |||
Copper contraceptive, intrauterine | OTH | J7300 | ||
Cordarone | see Amiodarone HCl | |||
Corgonject-5 | see Chorionic gonadotropin | |||
Corticorelin ovine triflutate | 1 mcg | J0795 | ||
Corticotropin | up to 40 units | IV, IM, SC | J0800 | |
Cortrosyn | see Cosyntropin | |||
C osmegen | see Dactinomycin | |||
Cotranzine | see Prochlorperazine | |||
Crofab | see Crotalidae Polyvalent Immune Fab | |||
Cromolyn sodium, unit dose form | per 10 mg | INH | J7631 , J7632 | |
Crotalidae immune f(ab’)2 (equine) | 120 mg | IV | J0841 | |
Crotalidae Polyvalent Immune Fab | up to 1 gram | IV | J0840 | |
Crysticillin 300 A.S. | see Penicillin G procaine | |||
Crysticillin 600 A.S. | see Penicillin G procaine | |||
Cyclophosphamide | 100 mg | IV | J9070 | |
Cyclophosphamide, oral | 25 mg | ORAL | J8530 | |
Cyclosporine, oral | 25 mg | ORAL | J7515 | |
Cyclosporine, oral | 100 mg | ORAL | J7502 | |
Cyclosporine, parenteral | 250 mg | IV | J7516 | |
Cytarabine | 100 mg | SC, IV | J9100 | |
Cytarabine liposome | 10 mg | IT | J9098 | |
Cytomegalovirus immune globulin intravenous(human)per vial | IV | J0850 | ||
Cytosar-U | see Cytarabine | |||
Cytovene | see Ganciclovir sodium | |||
Cytoxan | see Cyclophosphamide; cyclophosphamide lyophilized; and cyclophosphamide | oral" | ||
D-5-W, infusion | 1000 cc | IV | J7070 | |
Dacarbazine | 100 mg | IV | J9130 | |
Daclizumab | 25 mg | IV | J7513 | |
Dactinomycin | 0.5 mg | IV | J9120 | |
Dalalone | see Dexamethasone sodium phosphate | |||
Dalalone L.A. | see Dexamethasone acetate | |||
Dalbavancin | 5 mg | IV | J0875 | |
Dalteparin sodium | per 2500 IU | SC | J1645 | |
Daptomycin | 1 mg | IV | J0878 | |
Daratumumab | 10 mg | IV | J9145 | |
Darbepoetin Alfa | 1 mcg | IV, SC | J0881 , J0882 | |
Daunorubicin citrate, liposomal formulation | 10 mg | IV | J9151 | |
Daunorubicin HCl | 10 mg | IV | J9150 | |
Daunoxome | see Daunorubicin citrate | |||
DDAVP | see Desmopressin acetate | |||
Decadron Phosphate | see Dexamethasone sodium phosphate | |||
Decadron | see Dexamethasone sodium phosphate | |||
Decadron-LA | see Dexamethasone acetate | |||
Deca-Durabolin | see Nandrolone decanoate | |||
Decaject | see Dexamethasone sodium phosphate | |||
Decaject-L.A. | see Dexamethasone acetate | |||
Decitabine | 1 mg | IV | J0894 | |
Decolone-50 | see Nandrolone decanoate | |||
Decolone-100 | see Nandrolone decanoate | |||
De-Comberol | see Testosterone cypionate and estradiol cypionate | |||
Deferoxamine mesylate | 500 mg | IM, SC, IV | J0895 | |
Degarelix | 1 mg | SC | J9155 | |
Dehist | see Brompheniramine maleate | |||
Deladumone OB | see Testosterone enanthate and estradiol valerate | |||
Deladumone | see Testosterone enanthate and estradiol valerate | |||
Delatest | see Testosterone enanthate | |||
Delatestadiol | see Testosterone enanthate and estradiol valerate | |||
Delatestryl | see Testosterone enanthate | |||
Delta-Cortef | see Prednisolone oral | |||
Delestrogen | see Estradiol valerate | |||
Demadex | see Torsemide | |||
Demerol HCl | see Meperidine | HCl | ||
Denileukin diftitox | 300 mcg | IV | J9160 | |
Denosumab | 1 mg | SC | J0897 | |
DepAndro 100 | see Testosterone cypionate | |||
DepAndro 200 | see Testosterone cypionate | |||
DepAndrogyn, | see Testosterone cypionate and estradiol cypionate | |||
DepGynogen, | see Depo-estradiol cypionate | |||
DepMedalone 40 "see Methylprednisolone"" acetate" | ||||
DepMedalone 80 "see Methylprednisolone"" acetate" | ||||
Depo-estradiol cypionate | up to 5 mg | IM | J1000 | |
Depogen | see Depo-estradiol cypionate | |||
Depoject | see Methyprednisolone acetate | |||
Depo-Medrol | see Methylprednisolone acetate | |||
Depopred-40 | see Methylprednisolone acetate | |||
Depopred-80 | see Methylprednisolone acetate | |||
Depo-Provera | see Medroxyprogesterone acetate | |||
Depotest | see Testosterone cypionate | |||
Depo-Testadiol | see Testosterone cypionate and estradiol cypionate | |||
Depotestogen | see Testosterone cypionate and estradiol cypionate | |||
Depo-Testosterone | see Testosterone cypionate | |||
Desferal Mesylate | see Deferoxamine mesylate | |||
Desmopressin acetate | 1 mcg | IV, SC | J2597 | |
Dexacen LA-8 | see Dexamethasone acetate | |||
Dexacen-4 | see Dexamethasone sodium phosphate | |||
Dexamethasone, concentrated form | per mg | INH | J7637 | |
Dexamethasone,unit form | per mg | INH | J7638 | |
Dexamethasone, intravitreal implant | 0.1 mg | OTH | J7312 | |
Dexamethasone, lacrimal ophthalmic insert | 0.1 mg | OTH | J1096 | |
Dexamethasone, oral | 0.25 mg | ORAL | J8540 | |
Dexamethasone acetate | 1 mg | IM | J1094 | |
Dexamethasone sodium phosphate | 1 mg | IM, IV, OTH | J1100 | |
Dexasone | see Dexamethasone sodium phosphate | |||
Dexasone L.A. | see Dexamethasone acetate | |||
Dexferrum | see Iron Dextran | |||
Dexone | see Dexamethasone sodium phosphate | |||
Dexone LA | see Dexamethasone acetate | |||
Dexrazoxane hydrochloride | 250 mg | IV | J1190 | |
Dextran 40 | 500 ml | IV | J7100 | |
Dextran 75 | 500 ml | IV | J7110 | |
Dextrose 5%/normal saline solution | 500 ml = 1 unit | IV | J7042 | |
Dextrose/water (5%) | 500 ml = 1 unit | IV | J7060 | |
D.H.E. 45 | see Dihydroergotamine | |||
Diamox | see Acetazolamide sodium | |||
Diazepam | up to 5 mg | IM, IV | J3360 | |
Diazoxide | up to 300 mg | IV | J1730 | |
Dibent | see Dicyclomine HCl | |||
Diclofenac sodium | 37.5 | IV | J1130 | |
Dicyclomine HCl | up to 20 mg | IM | J0500 | |
Didronel | see Etidronate disodium | |||
Diethylstilbestrol diphosphate | 250 mg | IV | J9165 | |
Diflucan | see Fluconazole | |||
Digoxin | up to 0.5 mg | IM, IV | J1160 | |
Digoxin immune fab (ovine) | per vial | J1162 | ||
Dihydrex | see Diphenhydramine | Hcl | ||
Dihydroergotamine mesylate | per 1 mg | IM, IV | J1110 | |
Dilantin | see Phenytoin sodium | |||
Dilaudid | see Hydromorphone HCl | |||
Dilocaine | see Lidocaine HCl | |||
Dilomine | see Dicyclomine HCl | |||
Dilor | see Dyphylline | |||
Dimenhydrinate | up to 50 mg | IM, IV | J1240 | |
Dimercaprol | per 100 mg | IM | J0470 | |
Dimethyl sulfoxide | see DMSO | ""see Dimenhydrinate""" | ||
Dioval | see Estradiol valerate | |||
Dioval 40 | see Estradiol valerate | |||
Dioval XX | see Estradiol valerate | |||
Diphenacen-50 | see Diphenhydramine | HCl | ||
Diphenhydramine HCl, Injection | up to 50 mg | IV, IM | J1200 | |
Diphenhydramine HCl, oral | 50 mg | ORAL | Q0163 | |
Dipyridamole | per 10 mg | IV | J1245 | |
Disotate | see Endrate ethylenediamine-tetra-acetic acid | |||
Di-Spaz | see Dicyclomine HCl | |||
Ditate-DS | see Testosterone enanthate and estradiol valerate | |||
Diuril Sodium | see Chlorothiazide sodium | |||
D-Med 80 | see Methylprednisolone acetate | |||
DMSO, Dimethyl sulfoxide | 50%, 50 ml | OTH | J1212 | |
Dobutamine HCl | per 250 mg | IV | J1250 | |
Dobutrex | see Dobutamine Hcl | |||
Docetaxel | 20 mg | IV | J9170 | |
Dolasetron mesylate, Injection | 10 mg | IV | J1260 | |
Dolasetron mesylate, tablets | 100 mg | ORAL | Q0180 | |
Dolophine HCl | see Methadone | Hcl | ||
Dommanate | see Dimenhydrinate | |||
Donbax | see Doripenem | |||
Dopamine HCl | 40 mg | J1265 | ||
Doribax | see Doripenem | |||
Doripenem | 10 mg | IV | J1267 | |
Dornase alpha, unit dose form | per mg | INH | J7639 | |
Doxercalciferol | 1 mcg | IV | J1270 | |
Doxil | see Doxorubicin HCL | lipid"" | ||
Doxorubicin HCL | 10 mg | IV | J9000 | |
Dramamine | see Dimenhydrinate | |||
Dramanate | see Dimenhydrinate | |||
Dramilin | see Dimenhydrinate | |||
Dramocen | see Dimenhydrinate | |||
Dramoject | see Dimenhydrinate | |||
Dronabinol, oral | 2.5 mg | ORAL | Q0167 | |
Droperidol | up to 5 mg | IM, IV | J1790 | |
Drug administered through a metered dose inhaler | INH | J3535 | ||
Droperidol and fentanyl citrate | up to 2 ml ampule | IM,IV | J1810 | |
DTIC-Dome | see Dacarbazine | |||
Dua-Gen L.A. | see Testosterone enanthate and estradiol valerate cypionate | |||
Duoval P.A. | see Testosterone enanthate and estradiol valerate | |||
Durabolin | see Nandrolone phenpropionate | |||
Duraclon | see Clonidine Hydrochloride | |||
Dura-Estrin | see Depo-estradiol cypionate | |||
Duracillin A.S. | see Penicillin G procaine | |||
Duragen-10 | see Estradiol valerate | |||
Duragen-20 | see Estradiol valerate | |||
Duragen-40 | see Estradiol valerate | |||
Duralone-40 | see Methylprednisolone acetate | |||
Duralone-80 | see Methylprednisolone acetate | |||
Duralutin | see Hydroxyprogesterone Caproate | |||
Duramorph | see Morphine sulfate | |||
Duratest-100 | see Testosterone cypionate | |||
Duratest-200 | see Testosterone cypionate | |||
Duratestrin | see Testosterone cypionate and estradiol cypionate | |||
Durathate-200 | see Testosterone enanthate | |||
Durvalumab | 10 mg | IV | J9173 | |
Dymenate | see Dimenhydrinate | |||
Dyphylline | up to 500 mg | IM | J1180 | |
Dysport | see AbobotulinumtoxintypeA | |||
Ecallantide | 1 mg | SC | J1290 | |
Eculizumab | 10 mg | IV | J1300 | |
Edaravone | 1 mg | IV | J1301 | |
Edetate calcium disodium | up to 1000 mg | IV, SC, IM | J0600 | |
Edetate disodium | per 150 mg | IV | J3520 | |
Elavil | see Amitriptyline HCl | |||
Ellence | see Epirubicin HCl | |||
Elliotts b solution | 1 ml | OTH | J9175 | |
Elosulfase alfa | 1 mg | IV | J1322 | |
Elotuzumab | 1 mg | IV | J9176 | |
Elspar | see Asparaginase | |||
Emapalunab – lzsg | 1 mg | IV | J9210 | |
Emend | see Fosaprepitant | |||
Emete-Con | see Benzquinamide | |||
Eminase | see Anistreplase | |||
Enbrel | see Etanercept | |||
Endrate ethylenediamine-tetra-acetic acid | see Edetate disodium | |||
Enfuvirtide | 1 mg | SC | J1324 | |
Enovil | see Amitriptyline HCl | |||
Enoxaparin sodium | 10 mg | SC | J1650 | |
Eovist | see Gadoxetate disodium | |||
Epinephrine, adrenalin | 0.1 mg | SC, IM | J0171 | |
Epirubicin hydrochloride | 2 mg | J9178 | ||
Epoetin alfa | 100 units | IV, SC | Q4081 | |
Epoetin alfa, non-ersd use | 1000 units | IV | J0885 | |
Epoetin alfa-epbx (Retacrit)non-ersd use | 1000 units | IV | Q5106 | |
Epoetin alfa-epbx (Retacrit)for-ersd use | 100 units | IV | Q5105 | |
Epoetin alfa | 100 | IV, SC | Q5105 | |
Epoetin alfa | 1000 units | IV | Q5106 | |
Epoetin beta, esrd use | 1 mcg | IV | J0887 | |
Epoetin beta, non-esrd use | 1 mcg | IV | J0888 | |
Epoprostenol | 0.5 mg | IV | J1325 | |
Eptifibatide, Injection | 5 mg | IM, IV | J1327 | |
Eravacycline | 1 mg | IV | J0122 | |
Ergonovine maleate | up to 0.2 mg | IM, IV | J1330 | |
Eribulin mesylate | 0.1 mg | IV | J9179 | |
Ertapenem sodium | 500 mg | IM, IV | J1335 | |
Erwinase | see Asparaginase | |||
Erythromycin lactobionate | 500 mg | IV | J1364 | |
Estra-D | see Depo-estradiol cypionate | |||
Estra-L 20 | see Estradiol valerate | |||
Estra-L 40 | see Estradiol valerate | |||
Estra-Testrin | see Testosterone enanthate and estradiol valerate | |||
Estradiol Cypionate | see Depo-estradiol cypionate | |||
Estradiol L.A. | see Estradiol valerate | |||
Estradiol L.A. 20 | see Estradiol valerate | |||
Estradiol L.A. 40 | see Estradiol valerate | |||
Estradiol valerate | up to 10 mg | IM | J1380 | |
Estro-Cyp | see Depo-estradiol cypionate | |||
Estrogen, conjugated | per 25 mg | IV, IM | J1410 | |
Estroject L.A. | see Depo-estradiol cypionate | |||
Estrone | per 1 mg | IM | J1435 | |
Estrone 5 | see Estrone | |||
Estrone Aqueous | see Estrone | |||
Estronol | see Estrone | |||
Estronol-L.A. | see Depo-estradiol cypionate | |||
Etanercept, Injection | 25 mg | IM, IV | J1438 | |
Etelcalcetide | 0.1 mg | IV | Q4078 | |
Eteplirsen | 10 mg | IV | J1428 | |
Ethanolamine | 100 mg | J1430 | ||
Ethyol | see Amifostine | |||
Etidronate disodium | per 300 mg | IV | J1436 | |
Etonogestrel implant | J7307 | |||
Etopophos | see Etoposide | |||
Etoposide | 10 mg | IV | J9181 | |
Etoposide, oral | 50 mg | ORAL | J8560 | |
Euflexxa | per dose | OTH | J7323 | |
Everolimus, oral | 0.25 mg | ORAL | J7527 | |
Everone | see Testosterone Enanthate | |||
Eylea | see Aflibercept | |||
Factor VIIa (coagulation factor, recombinant) | 1 mcg | IV | J7189 | |
Factor VIII (anti-hemophilic factor, human) | per IU | IV | J7190 | |
Factor VIII (anti-hemophilic factor, porcine) | per IU | IV | J7191 | |
Factor VIII (anti-hemophilic factor, recombinant) | per IU | IV | J7182 , J7185 , J7192 , J7188 | |
Factor VIII (anti-hemophilic factor, | per IU | IV | J7208 | |
Factor VIII fc fusion (recombinant) | per IU | IV | J7205 , J7207 , J7209 | |
Factor VIII (anti-hemophilic factor recombinant) | ||||
(Kovaltry) (Afstyla) | per IU | IV | J7210 | |
(Kovaltry) | Per IU | IV | J7211 | |
Factor IX (anti-hemophilic, factor, purified, non-recombinant) | per IU | IV | J7193 | |
Factor IX (anti-hemophilic, factor, recombinant) | per IU | IV | J7195 , J7200 , J7202 | |
Factor IX, complex | per IU | IV | J7194 | |
Factor X (human) | per IU | IV | J7175 | |
Factor XIII A-subunit (recombinant) | per IU | IV | J7181 | |
Factors, other hemophilia clotting | per IU | IV | J7196 | |
Factrel | see Gonadorelin HCl | |||
Feiba VH Immuno | see Factors other hemophilia clotting | |||
Fentanyl citrate | 0.1 mg | IM, IV | J3010 | |
Feraheme | see Ferumoxytol | |||
Ferric carboxymaltose | 1 mg | IV | J1439 | |
Ferric pyrophosphate citrate powder | 0.1 mg of iron | IV | J1444 | |
Ferric pyrophosphate citrate solution | 0.1 mg of iron | IV | J1443 | |
Ferrlecit | see Sodium ferricgluconate complex in sucrose Injection | |||
Ferumoxytol | 1 mg | Q0138 , Q0139 | ||
Filgrastim-aafi | 1 mcg | IV | Q5110 | |
Filgrastim (G-CSF) | 1 mcg | SC, IV | J1442 , Q5101 | |
Filgrastim (TBO) | 1 mcg | IV | J1447 | |
Firazyr | see Icatibant | |||
Firmagon | see Degarelix | |||
Flebogamma | 500 mg | IV | J1572 | |
Flexoject | see Orphenadrine citrate | |||
Flexon | see Orphenadrine citrate | |||
Flolan | see Epoprostenol | |||
Florbetaben f18, diagnostic | per study dose | IV | Q9983 | |
Floxuridine | 500 mg | IV | J9200 | |
Fluconazole | 200 mg | IV | J1450 | |
Fludara | see Fludarabine phosphate | |||
Fludarabine phosphate | 1 mg | ORAL | J8562 | |
Fludarabine phosphate | 50 mg | IV | J9185 | |
Flunisolide inhalation solution, unit dose form | per mg | INH | J7641 | |
Fluocinolone | OTH | J7311 , J7313 | ||
Fluocinolone acetonide (Yutiq) | 0.01 mg | OTH | J7314 | |
Fluorouracil | 500 mg | IV | J9190 | |
Flutemetamol f18, diagnostic | per study dose | IV | Q9982 | |
Folex | see Methotrexate sodium | |||
Folex PFS | see Methotrexate sodium | |||
Follutein | see Chorionic gonadotropin | |||
Folotyn | see Pralatrexate | |||
Fomepizole | 15 mg | J1451 | ||
Fomivirsen sodium | 1.65 mg | Intraocular | J1452 | |
Fondaparinux sodium | 0.5 mg | SC | J1652 | |
Formoterol | 12 mcg | INH | J7640 | |
Formoterol fumarate | 20 mcg | INH | J7606 | |
Fortaz | see Ceftazidime | |||
Fosaprepitant | 1 mg | IV | J1453 | |
Foscarnet sodium | per 1,000 mg | IV | J1455 | |
Foscavir | see Foscarnet sodium | |||
Fosnetupitant and Palonosetron | 235 mg and 0.25 mg | IV | J1454 | |
Fosphenytoin | 50 mg | IV | Q2009 | |
Fremanezumab- vfrm | 1 mg | IV | J3031 | |
FUDR | see Floxuridine | |||
Fulvestrant | 25 mg | IM | J9395 | |
Fungizone Intravenous, | see Amphotericin B | |||
Furomide M.D. | see Furosemide | |||
Furosemide | up to 20 mg | IM, IV | J1940 | |
Gadoxetate disodium | 1 ml | IV | A9581 | |
Gallium nitrate | 1 mg | IV | J1457 | |
Galsulfase | 1 mg | IV | J1458 | |
Gamastan | see Gamma globulin and Immune globulin | |||
Gammagard Liquid | 500 mg | IV | J1569 | |
Gamma globulin | 1 cc | IM | J1460 | |
Gamma globulin | over 10 cc | IM | J1560 | |
Gammaplex | 500 mg | IV | J1557 | |
Gammar | see Gamma globulin and Immune globulin | |||
Gammar-IV | see Immune globulin intravenous (human) | |||
Gamulin RH | see Rho(D) immune globulin | |||
Gamunex | 500 mg | IV | J1561 | |
Ganciclovir, implant | 4.5 mg | OTH | J7310 | |
Ganciclovir sodium | 500 mg | IV | J1570 | |
Garamycin, gentamicin | up to 80 mg | IM, IV | J1580 | |
Gatifloxacin | 10 mg | IV | J1590 | |
Gefitinib | 250 mg | ORAL | J8565 | |
Gel-One | per dose | OTH | J7326 | |
Gemcitabine HCl not otherwise specified | 200 mg | IV | J9201 | |
Gemcitabine HCI (Infugem) | 200 mg | IV | J9199 | |
Gemsar | see Gemcitabine Hcl | |||
Gemtuzumab ozogamicin | 5 mg | IV | J9300 | |
Gentamicin Sulfate | see Garamycin gentamicin | |||
Gentran | see Dextran 40 | |||
Gentran 75 | see Dextran 75 | |||
Gesterol 50 | see Progesterone | |||
Glassia | 10 mg | IV | J0257 | |
Glatiramer Acetate | 20 mg | SC | J1595 | |
Glucagon Hcl | per 1 mg | SC, IM, IV | J1610 | |
Glukor | see Chorionic gonadotropin | |||
Glycopyrrolate, concentrated form | per 1 mg | INH | J7642 | |
Glycopyrrolate, unit dose form | per 1 mg | INH | J7643 | |
Gold sodium thiomalate | up to 50 mg | IM | J1600 | |
Golimumab | 1 mg | IV | J1602 | |
Gonadorelin HCl | per 100 mcg | SC, IV | J1620 | |
Gonic | see Chorionic gonadotropin | |||
Goserelin acetate implant | per 3.6 mg | SC | J9202 | |
Granisetron, extended release | 0.1 mg | IV | J1627 | |
Granisetron HCl, Injection | 100 mcg | IV | J1626 | |
Guselkumab | 1 mg | IV | J1628 | |
Granisetron HCl, oral | 1 mg | ORAL | Q0166 | |
Gynogen L.A. A10,@ see Estradiol valerate | ||||
Gynogen L.A. A20,@ see Estradiol valerate | ||||
Gynogen L.A. A40,@ see Estradiol valerate | ||||
Halaven | see Eribulin mesylate | |||
Haldol | see Haloperidol | |||
Haldol | up to 5 mg | IM, IV | J1630 | |
Haloperidol | ||||
Haloperidol decanoate | per 50 mg | IM | J1631 | |
Hectoral | see Doxercalciferol | |||
Hemin | 1 mg | J1640 | ||
Hemofil M | see Factor VIII | |||
Hemophilia clotting factors(e.g., anti-inhibitors) | per IU | IV | J7198 | |
Hemophilia clotting factors, NOC | per IU | IV | J7199 | |
Hepagam B | 0.5 ml | IM | J1571 | |
Hepagam B | 0.5 ml | IV | J1573 | |
Hep-Lock | see Heparin sodium (heparin lock flush) | |||
Hep-Lock U/P | see Heparin sodium (heparin lock flush) | |||
Heparin sodium | 1,000 units | IV, SC | J1644 | |
Heparin sodium (heparin lock flush) | 10 units | IV | J1642 | |
Herceptin | see Trastuzumab | |||
Hexadrol Phosphate | see Dexamethasone sodium phosphate | |||
Hexaminolevulinate hydrochloride | 100 mg | IV | A9589 | |
Histaject | see Brompheniramine maleate | |||
Histerone 50 | see Testosterone suspension | |||
Histerone 100 | see Testosterone suspension | |||
Histrelin acetate | 10 mcg | J1675 | ||
Histrelin implant | 50 mg | OTH | J9225 | |
Hizentra | see Immune globulin | |||
Human fibrinogen concentrate | 100 mg | IV | J7178 | |
Human fibrinogen concentrate (fibryga) | 1 mg | IV | J7177 | |
Hyalgan, Supartz or VISCO-3 | IA | J7321 | ||
Hyaluronan or derivative | per dose | IV | J7327 | |
Durolane | 1 mg | IA | J7318 | |
Gel-Syn | 0.1 mg | IA | J7328 | |
Gen Visc 850 | 1 mg | IA | J7320 | |
Hymovis | 1 mg | IA | J7322 | |
Gelsyn-3 | 0.1 | IV | J7328 | |
Triluron | 1 mg | IV | J7332 | |
Trivisc | 1 mg | IV | J7329 | |
Synojoynt | 1 mg | VAR | J7331 | |
Hyaluronidase | up to 150 units | SC, IV | J3470 | |
Hyaluronidase, ovine | up to 999 units | VAR | J3471 | |
Hyaluronidase, ovine | per 1000 units | VAR | J3472 | |
Hyaluronidase recombinant | 1 usp | SC | J3473 | |
Hyate:C | see Factor VIII (anti-hemophilic factor (porcine)) | |||
Hybolin Improved | see Nandrolone phenpropionate | |||
Hybolin Decanoate | see Nandrolone decanoate | |||
Hycamtin | see Topotecan | |||
Hydralazine HCl | up to 20 mg | IV, IM | J0360 | |
Hydrate | see Dimenhydrinate | |||
Hydrocortisone acetate | up to 25 mg | IV, IM, SC | J1700 | |
Hydrocortisone sodium phosphate | up to 50 mg | IV, IM, SC | J1710 | |
Hydrocortisone succinate sodium | up to 100 mg | IV, IM, SC | J1720 | |
Hydrocortone Acetate | see Hydrocortisone acetate | |||
Hydrocortone Phosphate | see Hydrocortisone sodium phosphate | |||
Hydromorphone HCl | up to 4 mg | SC, IM, IV | J1170 | |
Hydroxyprogesterone, Caproate | 1 mg | IM | J1725 | |
Hydroxyprogesterone, Caproate, NOS | 10 mg | IV | J1729 | |
Hydroxyprogesterone, Caproate, (Makena) | 10 mg | IV | J1726 | |
Hydroxyzine | up to 25 mg | IM, HCI | J3410 | |
Hydroxyzine Pamoate | 25 mg | ORAL | Q0177 | |
Hylan G-F 20 | OTH | J7322 | ||
Hyoscyamine sulfate | up to 0.25 mg | SC, IM, IV | J1980 | |
Hyperstat IV | see Diazoxide | |||
Hyper-Tet | see Tetanus immune globulin human | |||
HypRho-D | see Rho(D) immune globulin | |||
Hyrexin-50 | see Diphenhydramine | HCl | ||
Hyzine-50 | see Hydroxyzine | HCl | ||
Ibalizumab-uiyk | 10 mg | IV | J1746 | |
Ibandronate sodium | 1 mg | IV | J1740 | |
Ibuprofen | 100 mg | IV | J1741 | |
Ibutilide fumarate | 1 mg | IV | J1742 | |
Icatibant | 1 mg | SC | J1744 | |
Idamycin | see Idarubicin HCl | |||
Idarubicin HCl | 5 mg | IV | J9211 | |
Idursulfase | 1 mg | IV | J1743 | |
Ifex | see Ifosfamide | |||
Ifosfamide | 1 g | IV | J9208 | |
Ilaris | see Canakinumab | |||
Iloprost | 20 mcg | INH | Q4074 | |
Ilotycin | see Erythromycin gluceptate | |||
Imferon | see Iron dextran | |||
Imiglucerase | 10 units | IV | J1786 | |
Imitrex | see Sumatriptan succinate | |||
Immune globulin | ||||
Bivigam | 500 mg | IV | J1556 | |
Flebogamma | 500 mg | IV | J1572 | |
Gammagard Liquid | 500 mg | IV | J1569 | |
Gammaplex | 500 mg | IV | J1557 | |
Gamunex | 500 mg | IV | J1561 | |
HepaGam B | 0.5 ml | IM | J1571 | |
HepaGam B | 0.5 ml | IV | J1573 | |
Hizentra | 100 mg | SC | J1559 | |
Hyaluronidase, | 100 mg | IV | J1575 | |
NOS | 500 mg | IV | J1566 , J1599 | |
Octagam | 500 mg | IV | J1568 | |
Privigen | 500 mg | IV | J1459 | |
Rhophylac | 100 IU | IM | J2791 | |
Subcutaneous | 100 mg | SC | J1562 | |
Cuvitru | 100 mg | IV | J1555 | |
Immunosuppressive drug, not otherwise classified | J7599 | |||
Imuran | see Azathioprine | |||
Inapsine | see Droperidol | |||
Incobotulinumtoxin type A | 1 unit | IM | J0588 | |
Inderal | see Propranolol HCl | |||
Infed | see Iron Dextran | |||
Infergen | see Interferon alfa-1 | |||
Infliximab-dyyb | 10 mg | IM, IV | Q5103 | |
Infliximab-abda | 10 mg | IM, IV | Q5104 | |
Infliximab-qbtx | 10 mg | IM, IV | Q5109 | |
Injection factor ix, glycopegylated | 1 iu | IV | J7203 | |
Innohep | see Tinzarparin | |||
Innovar | see Droperidol with fentanyl citrate | |||
Inotuzumab ozogamicin | 0.1 mg | IV | J9229 | |
Insulin | 5 units | SC | J1815 | |
Insulin lispro | 50 units | SC | J1817 | |
Intal | see Cromolyn sodium or Cromolyn sodium compounded | |||
Integrilin, Injection | see Eptifibatide | |||
Interferon alphacon-1, recombinant | 1 mcg | SC | J9212 | |
Interferon alfa-2a, recombinant | 3 million units | SC, IM | J9213 | |
Interferon alfa-2b, recombinant | 1 million units | SC, IM | J9214 | |
Interferon alfa-n3 (human leukocyte derived) | 250,000 IU | IM | J9215 | |
Interferon beta-1a | 30 mcg | IM | J1826 | |
Interferon beta-1a | 1 mcg | IM | Q3027 | |
Interferon beta-1a | 1 mcg | SC | Q3028 | |
Interferon beta-1b | 0.25 mg | SC | J1830 | |
Interferon gamma-1b | 3 million units | SC | J9216 | |
Intrauterine copper contraceptive | see Copper contraceptive intrauterine | |||
Invega Sustenna | see Paliperidone Palmitate | |||
Ipilimumab | 1 mg | IV | J9228 | |
Ipratropium bromide, unit dose form | per mg | INH | J7644 , J7645 | |
Irinotecan | 20 mg | IV | J9206 , J9205 | |
Iron dextran | 50 mg | IV | J1750 | |
Iron sucrose | 1 mg | IV | J1756 | |
Irrigation solution for tx of bladder calculi | per 50 ml | OTH | Q2004 | |
Isavuconazonium | 1 mg | IV | J1833 | |
Isocaine HCl | see Mepivacaine | |||
Isoetharine HCl, concentrated form | per mg | INH | J7647 , J7648 | |
Isoetharine Hcl, unit dose form | per mg | INH | J7649 , J7650 | |
Isoproterenol HCl, concentrated form | per mg | INH | J7657 , J7658 | |
Isoproterenol Hcl, unit dose form | per mg | INH | J7659 , J7660 | |
Istodax | see Romidepsin | |||
Isuprel | see Isoproterenol HCl | |||
Itraconazole | 50 mg | IV | J1835 | |
Ixabepilone | 1 mg | IV | J9207 | |
Ixempra | see Ixabepilone | |||
Jenamicin | see Garamycin gentamicin | |||
Jevtana | see Cabazitaxel | |||
Kabikinase | see Streptokinase | |||
Kalbitor | see Ecallantide | |||
Kaleinate | see Calcium gluconate | |||
Kanamycin sulfate | up to 75 mg | IM, IV | J1850 | |
Kanamycin sulfate | up to 500 mg | IM, IV | J1840 | |
Kantrex | see Kanamycin sulfate | |||
Keflin | see Cephalothin sodium | |||
Kefurox | see Cufuroxime sodium | |||
Kefzol | see Cefazolin sodium | |||
Kenaject-40 | see Triamcinolone acetonide | |||
Keroxx | 1 cc | IV | Q4202 | |
Kenalog-10 | see Triamcinolone acetonide | |||
Kenalog-40 | see Triamcinolone acetonide | |||
Keppra | see Levetiracetam | |||
Kestrone 5 | see Estrone | |||
Ketorolac tromethamine | per 15 mg | IM, IV | J1885 | |
Key-Pred 25 | see Prednisolone acetate | |||
Key-Pred 50 | see Prednisolone acetate | |||
Key-Pred-SP | see Prednisolone sodium phosphate | |||
K-Flex | see Orphenadrine citrate | |||
Khapzory | 0.5 mg | IV | J0642 | |
Klebcil | see Kanamycin sulfate | |||
Koate-HP | see Factor VIII | |||
Kogenate | see Factor VIII | |||
Konakion | see Vitamin K phytonadione | etc. | Konyne-80"" ""see Factor IX complex""" | |
Krystexxa | see Pegloticase | |||
Kytril | see Granisetron HCl | |||
Kyleena | 19.5 mg | |||
Lanadelumab - flyo | 1 mg | IV | J0593 | |
L.A.E. 20 | see Estradiol valerate | |||
Laetrile, Amygdalin, vitamin B-17 | J3570 | |||
Lanoxin | see Digoxin | |||
Lanreotide | 1 mg | SC | J1930 | |
Largon | see Propiomazine HCl | |||
Laronidase | 0.1 mg | IV | J1931 | |
Lasix | see Furosemide | |||
L-Caine | see Lidocaine HCl | |||
Lepirudin | 50 mg | J1945 | ||
Leucovorin calcium | per 50 mg | IM, IV | J0640 | |
Leukine | see Sargramostim (GM-CSF) | |||
Leuprolide acetate (for depot suspension) | per 3.75 mg | IM | J1950 | |
Leuprolide acetate (for depot suspension) | 7.5 mg | IM | J9217 | |
Leuprolide acetate | per 1 mg | IM | J9218 | |
Leuprolide acetate implant | 65 mg | OTH | J9219 | |
Leustatin | see Cladribine | |||
Levalbuterol HCl, concentrated form | 0.5 mg | INH | J7607 , J7612 | |
Levalbuterol HCl, unit dose form | 0.5 mg | INH | J7614 , J7615 | |
Levaquin I.U. | see Levofloxacin | |||
Levetiracetam | 10 mg | IV | J1953 | |
Levocarnitine | per 1 gm | IV | J1955 | |
Levo-Dromoran | see Levorphanol tartrate | |||
Levofloxacin | 250 mg | IV | J1956 | |
Levoleucovorin calcium | 0.5 mg | IV | J0641 | |
Levonorgestrel implant | OTH | J7306 | ||
Levonorgestrel releasing intrauterin contraceptive | 52 mg | OTH | J7297 , J7298 | |
Levorphanol tartrate | up to 2 mg | SC, IV | J1960 | |
Levsin | see Hyoscyamine sulfate | |||
Levulan Kerastick | see Aminolevulinic acid | HCl | ||
Lexiscan | see Regadenoson | |||
Librium | see Chlordiazepoxide | HCl | ||
Lidocaine HCl | 10 mg | IV | J2001 | |
Lidoject-1 | see Lidocaine HCl | |||
Lidoject-2 | see Lidocaine HCl | |||
Lincocin | see Lincomycin HCl | |||
Lincomycin HCl | up to 300 mg | IV | J2010 | |
Linezolid | 200 mg | IV | J2020 | |
Liquaemin Sodium | see Heparin sodium | |||
Lioresal | see Baclofen | |||
Liposomal | ||||
Cytarabine | 2.27 mg | IV | J9153 | |
Daunorubicin | 1 mg | IV | J9153 | |
LMD (10%) | see Dextran 40 | |||
Lovenox | see Enoxaparin sodium | |||
Lorazepam | 2 mg | IM, IV | J2060 | |
Lufyllin | see Dyphylline | |||
Luminal Sodium | see Phenobarbitol sodium | |||
Lumizyme | see Alglucosidase alfa | |||
Lunelle | see Medroxyprogesterone acetate/estradiol cypionate | |||
Lupron | see Leuprolide acetate | |||
Lyophilized | see Cyclophosphamide lyophilized | |||
Loxapine | 1 mg | OTH | J2062 | |
Magnesium sulfate | 500 mg | J3475 | ||
Makena, | see Hydroxyprogesterone Caproate | |||
Mannitol | 25% in 50 ml | IV | J2150 | |
Mannitol | 5mg | INH | J7665 | |
Marmine | see Dimenhydrinate | |||
Maxipime, | see Cefepime hydrochloride | |||
Mecasermin | 1 mg | SC | J2170 | |
Mechlorethamine HCl (nitrogen mustard), HN2 | 10 mg | IV | J9230 | |
Medralone, 40 | see Methylprednisolone acetate | |||
Medralone, 80 | see Methylprednisoloneacetate | |||
Medrol | see Methylprednisolone | |||
Medroxyprogesterone acetate | 1 mg | IM | J1050 | |
Mefoxin, | see Cefoxitin sodium | |||
Melphalan HCI | 50 mg | IV | J9245 | |
Melphalan, oral | 2 mg | ORAL | J8600 | |
Menoject LA | see Testosterone cypionate and estradiol cypionate | |||
Mepergan Injection | see Meperdineand promethazine | HCl | ||
Meperidine | per 100 mg | IM, IV, SC, HCI | J2175 | |
Meperidine and promethazine | up to 50 mg | IM, IV, HCI | J2180 | |
Mepivacaine | per 10 ml | VAR, HCI | J0670 | |
Mepolizumab | 1 mg | IV | J2182 | |
Meropenem | 100 mg | IV | J2185 | |
Mesna | 200 mg | IV | J9209 | |
Mesnex | see Mesna | |||
Metaprel | see Metaproterenol sulfate | |||
Metaproterenol sulfate, concentrated form | per 10 mg | INH | J7667 , J7668 | |
Metaproterenol sulfate, unit dose form | per 10 mg | INH | J7669 , J7670 | |
Metaraminol bitartrate | per 10 mg | IV, IM, SC | J0380 | |
Metastron | see Strontium-89 chloride | |||
Methacholine chloride | 1 mg | INH | J7674 | |
Methadone HCl | up to 10 mg | IM, SC | J1230 | |
Methergine | see Methylergonovine maleate | |||
Methocarbamol | up to 10 ml | IV, IM | J2800 | |
Methotrexate, oral | 2.5 mg | ORAL | J8610 | |
Methotrexate sodium | 5 mg | IV, IM, IT, IA | J9250 | |
Methotrexate sodium | 50 mg | IV, IM, IT, IA | J9260 | |
Methotrexate sodium | see Methotrexate | LPF | ||
Methyldopate | up to 250 mg | IV, HCI | J0210 | |
Methylnaltrexone | 0.1 mg | SC | J2212 | |
Methylprednisolone, oral | per 4 mg | ORAL | J7509 | |
Methylprednisolone acetate | 20 mg | IM | J1020 | |
Methylprednisolone acetate | 40 mg | IM | J1030 | |
Methylprednisolone acetate | 80 mg | IM | J1040 | |
Methylprednisolone sodium succinate | up to 40 mg | IM, IV | J2920 | |
Methylprednisolone sodium succinate | up to 125 mg | IM, IV | J2930 | |
Metoclopramide HCl | up to 10 mg | IV | J2765 | |
Metvixia, | see Aminolevulinate | |||
Miacalcin | see Calcitonin-salmon | |||
Micafungin sodium | 1 mg | J2248 | ||
Midazolam HCl | per 1 mg | IM, IV | J2250 | |
Milrinone lactate | 5 mg | IV | J2260 | |
Minocine | see Minocycline Hydrochloride | |||
Minocycline Hydrochloride | 1 mg | IV | J2265 | |
Mirena | see Levonorgestrel releasing intrauterine contraceptive | |||
Mithracin | see Plicamycin | |||
Mitomycin | 0.2 mg | Opthalmic | J7315 | |
Mitomycin | 5 mg | IV | J9280 | |
Mitosol | see Mitomycin | |||
Mitoxantrone HCl | per 5 mg | IV | J9293 | |
Mogamulizumab – kpkc | 1 mg | IV | J9204 | |
Monocid | see Cefonicic sodium | |||
Monoclate-P | see Factor VIII | |||
Monoclonal antibodies, parenteral | 5 mg | IV | J7505 | |
Mononine | see Factor IX purified non-recombinant | |||
Morphine sulfate | up to 10 mg | IM, IV, SC | J2270 | |
Morphine sulfate, preservative-free | 10 mg | SC, IM, IV | J2274 | |
Moxetumomab Pasudotox - tdfk | 0.01 mg | IV | J9313 | |
Moxifloxacin | 100 mg | IV | J2280 | |
Mozobil | see Plerixafor | |||
M-Prednisol-40 | see Methylprednisolone acetate | |||
M-Prednisol-80 | see Methylprednisolone acetate | |||
Mucomyst | see Acetylcysteine or Acetylcysteine compounded | |||
Mucosol | see Acetylcysteine | |||
Muromonab-CD3 | 5 mg | IV | J7505 | |
Muse | see Alprostadil | |||
Mustargen | see Mechlorethamine | HCl | ||
Mutamycin | see Mitomycin | |||
Mycophenolic acid | 180 mg | ORAL | J7518 | |
Mycophenolate Mofetil | 250 mg | ORAL | J7517 | |
Myleran | see Busulfan | |||
Mylotarg | see Gemtuzumab ozogamicin | |||
Myobloc | see RimabotulinumtoxinB | |||
Myochrysine | see Gold sodium thiomalate | |||
Myolin | see Orphenadrine citrate | |||
Nabilone | 1 mg | ORAL | J8650 | |
Nalbuphine | per 10 mg | IM, IV, SC, HCI | J2300 | |
Naloxone HCl | per 1 mg | IM, IV, SC | J2310 | |
Naltrexone, depot form | 1 mg | IM | J2315 | |
Nandrobolic L.A. | see Nandrolone decanoate | |||
Nandrolone decanoate | up to 50 mg | IM | J2320 | |
Narcan | see Naloxone HCl | |||
Naropin | see Ropivacaine HCl | |||
Nasahist B | see Brompheniramine maleate | |||
Nasal vaccine inhalation | INH | J3530 | ||
Natalizumab | 1 mg | IV | J2323 | |
Navane | see Thiothixene | |||
Navelbine | see Vinorelbine tartrate | |||
ND Stat | see Brompheniramine maleate | |||
Nebcin | see Tobramycin sulfate | |||
NebuPent | see Pentamidine isethionate | |||
Necitumumab | 1 mg | IV | J9295 | |
Nelarabine | 50 mg | IV | J9261 | |
Nembutal Sodium Solution | see Pentobarbital sodium | |||
Neocyten | see Orphenadrine citrate | |||
Neo-Durabolic | see Nandrolone decanoate | |||
Neoquess | see Dicyclomine HCl | |||
Neosar | see Cyclophosphamide | |||
Neostigmine methylsulfate | up to 0.5 mg | IM, IV, SC | J2710 | |
Neo-Synephrine | see Phenylephrine HCl | |||
Nervocaine 1% | see Lidocaine HCl | |||
Nervocaine 2% | see Lidocaine HCl | |||
Nesacaine | see Chloroprocaine HCL | |||
Nesacaine-MPF | see Chloroprocaine HCl | |||
Nesiritide | 0.1 mg | IV | J2325 | |
Neumega | see Oprelvekin | |||
Neupogen | see Filgrastim (G-CSF) | |||
Neutrexin | see Trimetrexate glucuronate | |||
Nipent | see Pentostatin | |||
Nivolumab | 1 mg | IV | J9299 | |
Nordryl | see Diphenhydramine HCl | |||
Norflex | see Orphenadrine citrate | |||
Norzine | see Thiethylperazine maleate | |||
Not otherwise classified drugs | J3490 | |||
Not otherwise classified drugs, other than INH | J7799 | |||
Not otherwise classified drugs | administered thru DME | |||
Not otherwise classified drugs | INH | J7699 | ||
Not otherwise classified drugs | administered thru DME | |||
Not otherwise classified drugs, anti-neoplastic | J9999 | |||
Not otherwise classified drugs, chemotherapeutic | ORAL | J8999 | ||
Not otherwise classified drugs, immunosuppressive | J7599 | |||
Not otherwise classified drugs, nonchemotherapeutic | ORAL | J8499 | ||
Novantrone | see Mitoxantrone | HCl | ||
Novo Seven | see Factor VIIa | |||
NPH | see Insulin | |||
Nplate | see Romiplostim | |||
Nubain | see Nalbuphine | HCl | ||
Nulicaine | see Lidocaine HCl | |||
Nulojix | see Belatacept | |||
Numorphan | see Oxymorphone HCl | |||
Numorphan H.P. | see Oxymorphone HCl | |||
Nusinersen | 0.1mg | IV | J2326 | |
Ocriplasmin | 0.125 mg | IV | J7316 | |
Octagam | 500 mg | IV | J1568 | |
Ocrelizumab | 1 mg | IV | J2350 | |
Octreotide Acetate, Injection | 1 mg | IM | J2353 | |
Octreotide Acetate, Injection | 25 mcg | IV, SQ | J2354 | |
Oculinum | see Botulinum toxin type A | |||
Ofatumumab | 10 mg | IV | J9302 | |
Ofirmev | see Acetaminophen | |||
O-Flex | see Orphenadrine citrate | |||
Oforta | see Fludarabine phosphate | |||
Olanzapine | 1 mg | IM | J2358 | |
Olaratumab | 10 mg | IV | J9285 | |
Omadacycline | 1 mg | IV | J0121 | |
Omacetaxine Mepesuccinate | 0.01 mg | IV | J9262 | |
Omalizumab | 5 mg | SC | J2357 | |
Omnipen-N | see Ampicillin | |||
Omontys | see Peginesatide | |||
OnabotulinumtoxinA | 1 unit | IM | J0585 | |
Oncaspar | see Pegaspargase | |||
Oncovin | see Vincristine sulfate | |||
Ondansetron HCI | 1 mg | IV | J2405 | |
Ondansetron HCl, oral | 1 mg | ORAL | Q0162 | |
Oprelvekin | 5 mg | SC | J2355 | |
Oraminic II | see Brompheniramine maleate | |||
Oritavancin | 10 mg | IV | J2407 | |
Ormazine | see Chlorpromazine HCl | |||
Orphenadrine citrate | up to 60 mg | IV, IM | J2360 | |
Orphenate | see Orphenadrine citrate | |||
Orthovisc | OTH | J7324 | ||
Or-Tyl | see Dicyclomine | |||
Oxacillin sodium | up to 250 mg | IM, IV | J2700 | |
Oxaliplatin | 0.5 mg | IV | J9263 | |
Oxymorphone HCl | up to 1 mg | IV, SC, IM | J2410 | |
Oxytetracycline HCl | up to 50 mg | IM | J2460 | |
Oxytocin | up to 10 units | IV, IM | J2590 | |
Ozurdex | see Dexamethasone intravitreal implant | |||
Paclitaxel | 1 mg | IV | J9267 | |
Paclitaxel protein-bound particles | 1 mg | IV | J9264 | |
Palifermin | 50 mcg | IV | J2425 | |
Paliperidone Palmitate | 1 mg | IM | J2426 | |
Palonosetron HCl | 25 mcg | IV | J2469 | |
palonosetron 0.5 mg and Netupitant 300 mg | ORAL | J8655 | ||
Pamidronate disodium | per 30 mg | IV | J2430 | |
Panitumumab | 10 mg | IV | J9303 | |
Papaverine HCl | up to 60 mg | IV, IM | J2440 | |
Paragard T 380 A | see Copper contraceptive intrauterine | |||
Paraplatin | see Carboplatin | |||
Paricalcitol, Injection | 1 mcg | IV, IM | J2501 | |
Pasireotide, long acting | 1 mg | IV | J2502 | |
Patisiran | 0.1 mg | IV | J0222 | |
Pegademase bovine | 25 iu | J2504 | ||
Pegaptinib | 0.3 mg | OTH | J2503 | |
Pegaspargase | per single dose vial | IM, IV | J9266 | |
Pegfilgrastim | 0.5 mg | SC | J2506 | |
Pegfilgrastim-jmdb | 0.5 mg | SC | Q5108 | |
Peginesatide | 0.1 mg | IV, SC | J0890 | |
Pegloticase | 1 mg | IV | J2507 | |
Pemetrexed | 10 mg | IV | J9305 | |
Pembrolizumab | 1 mg | IV | J9271 | |
Penicillin G benzathine | 100,000units | IM | J0561 | |
Penicillin G benzathine and penicillin G procaine | 100,000 units | IM | J0558 | |
Penicillin G potassium | up to 600,000 units | IM, IV | J2540 | |
Penicillin G procaine, aqueous | up to 600,000 units | IM, IV | J2510 | |
Pentamidine isethionate | per 300 mg | INH | J2545 , J7676 | |
Pentastarch, 10% | 100 ml | J2513 | ||
Pentazocine HCl | 30 mg | IM, SC, IV | J3070 | |
Pentobarbital sodium | per 50 mg | IM, IV, OTH | J2515 | |
Pentostatin | per 10 mg | IV | J9268 | |
Peforomist | see Formoterol fumarate | |||
Peramivir | 1 mg | IV | J2547 | |
Permapen | see Penicillin G benzathine | |||
Perphenazine, Injection | up to 5 mg | IM, IV | J3310 | |
Perphenazine, tablets | 4 mg | ORAL | Q0175 | |
Persantine IV | see Dipyridamole | |||
Pertuzumab | 1 mg | IV | J9306 | |
Pet Imaging Gallium Ga-68, dotatate, diagnostic | 0.1 millicurie | IV | A9587 | |
Pet Imaging Fluciclovine F-18, diagnostic | 1 millcurie | IV | A9588 | |
Positron emission tomography radiopharmaceutical, diagnostic for tumor identification, NOC | IV | A9597 | ||
Positron emission tomography radiopharmaceutical, diagnostic for non-tumor identification, NOC | IV | A9598 | ||
Pfizerpen | see Penicillin G potassium | |||
Pfizerpen A.S. | see Penicillin G procaine | |||
Phenazine 25 | see Promethazine HCl | |||
Phenazine 50 | see Promethazine HCl | |||
Phenergan | see Promethazine HCl | |||
Phenobarbital sodium | up to 120 mg | IM, IV | J2560 | |
Phentolamine mesylate | up to 5 mg | IM, IV | J2760 | |
Phenylephrine HCl | up to 1 ml | SC, IM, IV | J2370 | |
Phenylephr ine 10.16 mg/Ketorolac 2.88 | 1 ml | VAR | J1097 | |
Phenytoin sodium | per 50 mg | IM, IV | J1165 | |
Photofrin | see Porfimer sodium | |||
Phytonadione (Vitamin K) | per 1 mg | IM, SC, IV | J3430 | |
Piperacillin/Tazobactam Sodium, Injection | 1.125 g | IV | J2543 | |
Pitocin | see Oxytocin | |||
Plantinol AQ | see Cisplatin | |||
Plas+SD | see Plasma pooled multiple donor | |||
Plasma, cryoprecipitate reduced | each unit | IV | P9044 | |
Plasma, pooled multiple donor, frozen, each unit | IV | P9023 , P9070 | ||
Plasma (single donor), pathogen reduced, frozen each unit | IV | P9071 | ||
Platelets, pheresis, pathogen reduces | each unit | IV | P9073 | |
Pathogen(s) test for platelets | OTH | P9100 | ||
Platinol | see Cisplatin | |||
Plazomicin | 5mg | IV | J0291 | |
Plerixafor | 1 mg | SC | J2562 | |
Plicamycin | 2,500 mcg | IV | J9270 | |
Polatuzumab vedotin | 1mg | IV | J9309 | |
Polocaine | see Mepivacaine | |||
Polycillin-N | see Ampicillin | |||
Porfimer Sodium | 75 mg | IV | J9600 | |
Potassium chloride | per 2 mEq | IV | J3480 | |
Pralatrexate | 1 mg | IV | J9307 | |
Pralidoxime chloride | up to 1 g | IV, IM, SC | J2730 | |
Predalone-50 | see Prednisolone acetate | |||
Predcor-25 | see Prednisolone acetate | |||
Predcor-50 | see Prednisolone acetate | |||
Predicort-50 | see Prednisolone acetate | |||
Prednisone, immediate release or delayed release | 1 mg | ORAL | J7512 | |
Prednisolone, oral | 5 mg | ORAL | J7510 | |
Prednisolone acetate | up to 1 ml | IM | J2650 | |
Predoject-50 | see Prednisolone acetate | |||
Pregnyl | see Chorionic gonadotropin | |||
Premarin Intravenous | see Estrogen conjugated | |||
Prescription,chemotherapeutic,not otherwise specified | ORAL | J8999 | ||
Prescription,nonchemotherapeutic,not otherwise specified | ORAL | J8499 | ||
Primacor | see Milrinone lactate | |||
Primaxin I.M. | see Cilastatin sodium imipenem | |||
Primaxin I.V. | see Cilastatin sodium imipenem | |||
Priscoline HCl | see Tolazoline HCl | |||
Privigen | 500 mg | IV | J1459 | |
Pro-Depo | see Hydroxyprogesterone Caproate | |||
Procainamide HCl | up to 1 g | IM, IV | J2690 | |
Prochlorperazine | up to 10 mg | IM, IV | J0780 | |
Prochlorperazine maleate, oral | 5 mg | ORAL | Q0164 | |
Profasi HP | see Chorionic gonadotropin | |||
Profilnine Heat-Treated | see Factor IX | |||
Progestaject | see Progesterone | |||
Progesterone | per 50 mg | IM | J2675 | |
Prograf | see Tacrolimus oral or parenteral | |||
Prokine | see Sargramostim (GM-CSF) | |||
Prolastin | see Alpha 1-proteinase inhibitor | see Aldesleukin""" | ||
Prolixin Decanoate | see Fluphenazine decanoate | |||
Promazine HCl | up to 25 mg | IM | J2950 | |
Promethazine HCl, Injection | up to 50 mg | IM, IV | J2550 | |
Promethazine HCl, oral | 12.5 mg | ORAL | Q0169 | |
Pronestyl | see Procainamide HCl | |||
Proplex T | see Factor IX | |||
Proplex SX-T | see Factor IX | |||
Propofol | 10 mg | IV | J2704 | |
Propranolol HCl | up to 1 mg | IV | J1800 | |
Prorex-25 | see Promethazine | HCl | ||
Prorex-50 | see Promethazine | HCl | ||
Prostaphlin | see Procainamide HCl | |||
Prostigmin | see Neostigmine methylsulfate | |||
Protamine sulfate | per 10 mg | IV | J2720 | |
Protein C Concentrate | 10 IU | IV | J2724 | |
Protirelin | per 250 mcg | IV | J2725 | |
Prothazine | see Promethazine HCl | |||
Protopam Chloride | see Pralidoxime chloride | |||
Proventil | see Albuterol sulfate compounded | |||
Prozine-50 | see Promazine HCl | |||
Pulmicort Respules | see Budesonide | |||
Pyridoxine HCl | 100 mg | J3415 | ||
Quelicin | see Succinylcholine chloride | |||
Quinupristin/dalfopristin | 500 mg (150/350) | IV | J2770 | |
Qutenza | see Capsaicin patch | |||
R | ||||
Ramucirumab | 5 mg | IV | J9308 | |
Ranibizumab | 0.1 mg | OTH | J2778 | |
Ranitidine HCL, Injection | 25 mg | IV, IM | J2780 | |
Rapamune | see Sirolimus | |||
Rasburicase | 0.5 mg | IV | J2783 | |
Recombinate | see Factor VIII | |||
Redisol | see Vitamin B-12 cyanocobalamin | |||
Regadenoson | 0.1 mg | IV | J2785 | |
Regitine | see Phentolamine mesylate | |||
Reglan | see Metoclopramide | HCl | ||
Regular | see Insulin | |||
Relefact TRH | see Protirelin | |||
Relistor | see methylnaltrexone | |||
Remicade | see Infliximab Injection | |||
Reo Pro | see Abciximab | |||
Rep-Pred 40 | see Methylprednisolone acetate | |||
Rep-Pred 80 | see Methylprednisolone acetate | IV | J2786 | |
Reslizumab | 1 mg | |||
RespiGam | see Respiratory Syncytial Virus | |||
Retavase | see Reteplase | |||
Reteplase | 18.8 mg | IV | J2993 | |
Retrovir | see Zidovudine | |||
Revefenacin inhalation solution | INH | J7677 | ||
Ravulizumab – cwvz | 10 mg | IV | J1303 | |
Rheomacrodex | see Dextran 40 | |||
Rhesonativ | see Rho(D) immune globulin human | |||
Rheumatrex Dose Pack | see Methotrexate oral | |||
Rho(D) immune globulin | IM, IV | J2791 | ||
Rho(D) immune globulin, human | 1 dose package, 300 mcg | IM | J2790 | |
Rho(D) immune globulin, human | 50 mg | IM | J2788 | |
Rho(D)immune globulin, human,solvent detergent | 100 IU | IV | J2792 | |
RhoGAM | see Rho(D) immune globulin human | |||
Rhophylac | 100 IU | IM, IV | J2791 | |
Riastap | see Human Fibrinogen concentrate | |||
Rilonacept | 1 mg | SC | J2793 | |
RimabotulinumtoxinB | 100 units | IM | J0587 | |
Ringers lactate infusion | up to 1,000 cc | IV | J7120 , J7121 | |
Risperidone | 0.5 mg | IM | J2794 | |
Risperidone (perseris) | 0.5 mg | IV | J2798 | |
Rituxan | see Rituximab | |||
Rituximab | 100 mg | IV | J9310 | |
Rituximab – abbs | 10 mg | IV | Q5115 | |
Robaxin | see Methocarbamol | |||
Rocephin | see Ceftriaxone sodium | |||
Roferon-A | see Interferon alfa-2A recombinant | |||
Rolapitant | 0.5 mg | IV | J2797 | |
Rolapitant, oral, 1 mg | 1 mg | Oral | J8670 | |
Romidepsin | 1 mg | IV | J9315 | |
Romiplostim | 10 mcg | SC | J2796 | |
Romosozumab – aqqg | 1 mg | IV | J3111 | |
Ropivacaine Hydrochloride | 1 mg | OTH | J2795 | |
Rubex | see Doxorubicin HCl | |||
Rubramin PC | see Vitamin B-12 cyanocobalamin | |||
Saline solution | 5% dextrose, 500 ml | IV | J7042 | |
Saline solution | infusion, 250 cc | IV | J7050 | |
Saline solution | infusion, 1,000 cc | IV | J7030 | |
Saline solution, sterile | 500 ml = 1 unit | IV, OTH | J7040 | |
Sandimmune | see Cyclosporine | |||
Sandoglobulin | see Immune globulin intravenous (human) | |||
Sandostatin Lar Depot | see Octreotide | |||
Sargramostim (GM-CSF) | 50 mcg | IV | J2820 | |
Sculptra | 0.5 mg | IV | Q2028 | |
Sebelelipase alfa | 1 mg | IV | J2840 | |
Selestoject | see Betamethasone sodium phosphate | |||
Sermorelin acetate | 1 mcg | SC | Q0515 | |
Siltuximab | 10 mg | IV | J2860 | |
Sincalide | 5 mcg | IV | J2805 | |
Sinusol-B | see Brompheniramine maleate | |||
Sirolimus | 1 mg | Oral | J7520 | |
Skyla | 13.5 mg | OTH | J7301 | |
Sodium ferricgluconate in sucrose | 12.5 mg | J2916 | ||
Sodium Hyaluronate | ||||
Euflexxa | J7323 | |||
Hyalgan | J7321 | |||
Orthovisc | J7324 | |||
Supartz | J7321 | |||
Solganal | see Aurothioglucose | |||
Solu-Cortef | see Hydrocortisone sodium phosphate (J1710) | |||
Solu-Medrol | see Methylprednisolone sodium succinate | |||
Solurex | see Dexamethasone sodium phosphate | |||
Solurex LA | see Dexamethasone acetate | |||
Somatrem | 1 mg | SC | J2940 | |
Somatropin | 1 mg | SC | J2941 | |
Somatulin Depot | see Lanreotide | |||
Sparine | see Promazine HCl | |||
Spasmoject | see Dicyclomine HCl | |||
Spectinomycin HCl | up to 2 g | IM | J3320 | |
Sporanox | see Itraconazole | |||
Staphcillin | see Methicillin sodium | |||
Stelara | see Ustekinumab | |||
Stilphostrol | see Diethylstilbestrol diphosphate | |||
Streptase | see Streptokinase | |||
Streptokinase | per 250,000 IU | IV | J2995 | |
Streptomycin Sulfate | see Streptomycin | |||
Streptomycin | up to 1 g | IM | J3000 | |
Streptozocin | 1 gm | IV | J9320 | |
Strontium-89 chloride | per millicurie | A9600 | ||
Sublimaze | see Fentanyl citrate | |||
Succinylcholine chloride | up to 20 mg | IV, IM | J0330 | |
Injection, sulfur hexafluoride lipid microspheres | per ml | IV | Q9950 | |
Sumatriptan succinate | 6 mg | SC | J3030 | |
Supartz | OTH | J7321 | ||
Surostrin | see Succinycholine chloride | |||
Sus-Phrine | see Adrenalin epinephrine | |||
Synercid | see Quinupristin/dalfopristin | |||
Synkavite | see Vitamin K phytonadione | see Oxytocin""" | OTH | |
Synvisc and Synvisc-One | 1 mg | J7325 | ||
Sytobex | see Vitamin B-12 cyanocobalamin | |||
Tacrolimus, oral, extended release | 0.1 mg | ORAL | J7508 | |
(Envarsus XR) | 0.25 mg | ORAL | J7503 | |
Tacrolimus, oral, immediate release | per 1 mg | ORAL | J7507 | |
Tacrolimus, parenteral | 5 mg | IV | J7525 | |
Tagraxofusp – erzs | 10 mcg | IV | J9269 | |
Taliglucerase Alfa | 10 units | IV | J3060 | |
Talimogene laherparepvec | per 1 million plaque forming units | IV | J9325 | |
Talwin | see Pentazocine Hcl | |||
Taractan | see Chlorprothixene | |||
Taxol | see Paclitaxel | |||
Taxotere | see Docetaxel | |||
Tazidime | see Ceftazidime | |||
Technetium TC Sestambi | per dose | A9500 | ||
Tedizolid phosphate | 1 mg | IV | J3090 | |
TEEV | see Testosterone enanthate and estradiol valerate | |||
Teflaro | see Ceftaroline fosamil | |||
Telavancin | 10 mg | IV | J3095 | |
Temozolomide | 1 mg | IV | J9328 | |
Temozolomide | 5 mg | ORAL | J8700 | |
Temsirolimus | 1 mg | IV | J9330 | |
Tenecteplase | 1 mg | IV | J3101 | |
Teniposide | 50 mg | Q2017 | ||
Tequin | see Gatifloxacin | |||
Terbutaline sulfate | up to 1 mg | SC, IV | J3105 | |
Terbutaline sulfate, concentrated form | per 1 mg | INH | J7680 | |
Terbutaline sulfate, unit dose form | per 1 mg | INH | J7681 | |
Teriparatide | 10 mcg | SC | J3110 | |
Terramycin IM | see Oxytetracycline HCl | |||
Testa-C | see Testosterone cypionate | |||
Testadiate | see Testosterone enanthate and estradiol valerate | |||
Testadiate-Depo | see Testosterone cypionate | |||
Testaject-LA | see Testosterone cypionate | |||
Testaqua | see Testosterone suspension | |||
Test-Estro Cypionates | see Testosterone cypionate and estradiol cypionate | |||
Test-Estro-C | see Testosterone cypionate and estradiol cypionate | |||
Testex | see Testosterone propionate | |||
Testoject-50 | see Testosterone suspension | |||
Testoject-LA | see Testosterone cypionate | |||
Testone LA 200 | see Testosterone enanthate | |||
Testone LA 100 | see Testosterone enanthate | |||
Testosterone Aqueous | see Testosterone suspension | |||
Testosterone enanthate | 1 mg | IM | J3121 | |
Testosterone cypionate | 1 mg | IM | J1071 | |
Testosterone undecanoate | 1 mg | IM | J3145 | |
Testradiol 90/4 | see Testosterone enanthate and estradiol valerate | |||
Testrin PA | see Testosterone enanthate | |||
Tetanus immune globulin, human | up to 250 units | IM | J1670 | |
Tetracycline | up to 250 mg | IM, IV | J0120 | |
Thallous Chloride TL 201 | per MCI | A9505 | ||
Theelin Aqueous | see Estrone | |||
Theophylline | per 40 mg | IV | J2810 | |
TheraCys | see BCG live | |||
Thiamine HCl | 100 mg | J3411 | ||
Thiethylperazine, maleate, Injection | up to 10 mg | IM | J3280 | |
Thiethylperazine, maleate, oral | 10 mg | ORAL | Q0174 | |
Thiotepa | 15 mg | IV | J9340 | |
Thorazine | see Chlorpromazine HCl | |||
Thymoglobulin, also see Immune globulin | ||||
anti-thymocyte globulin, equine | 250 mg | IV | J7504 | |
anti-thymocyte globulin, rabbit | 25 mg | IV | J7511 | |
Thypinone | see Protirelin | |||
Thyrogen | see Thyrotropin Alfa | |||
Thyrotropin Alfa, Injection | 0.9 mg | IM, SC | J3240 | |
Tice BCG | see BCG live | |||
Ticon | see Trimethobenzamide HCl | |||
Tigan | see Trimethobenzamide HCl | |||
Tigecycline | 1 mg | IV | J3243 | |
Tiject-20 | see Trimethobenzamide HCl | |||
Tinzaparin | 1000 IU | SC | J1655 | |
Tirofiban Hydrochloride, Injection | 0.25 mg | IM, IV | J3246 | |
TNKase | see Tenecteplase | |||
Tobi | see Tobramycin inhalation solution | |||
Tobramycin, inhalation solution | 300 mg | INH | J7682 , J7685 | |
Tobramycin sulfate | up to 80 mg | IM, IV | J3260 | |
Tocilizumab | 1 mg | IV | J3262 | |
Tofranil | see Imipramine HCl | |||
Tolazoline HCl | up to 25 mg | IV | J2670 | |
Topotecan | 0.25 mg | Oral | J8705 | |
Topotecan | 0.1 mg | IV | J9351 | |
Toradol | see Ketorolac tromethamine | |||
Torecan | see Thiethylperazine maleate | |||
Torisel | see Temsirolimus | |||
Tornalate | see Bitolterol mesylate | |||
Torsemide | 10 mg/ml | IV | J3265 | |
Totacillin-N | see Ampicillin | |||
Trabectedin | 0.1 mg | IV | J9352 | |
Trastuzumab | 10 mg | IV | J9355 | |
Trastuzumab - anns (kanjinti) | 10 mg | IV | Q5117 | |
Trastuzumab - dkst | 10 mg | IV | Q5114 | |
Trastuzumab - dttb | 10 mg | IV | Q5112 | |
Trastuzumab- pkrb | 10 mg | IV | Q5113 | |
Trastuzumab- qyyp (trazimera) | 10 mg | IV | Q5116 | |
Trastuzumab and Hyaluronidase | 10 mg | IV | J9356 | |
Treanda | see Bendamustine HCl | |||
Treprostinil | 1 mg | J3285 | ||
Tri-Kort | see Triamcinolone acetonide | |||
Triam-A | see Triamcinolone acetonide | |||
Triamcinolone, concentrated form | per 1 mg | INH | J7683 | |
Triamcinolone, unit dose | per 1 mg | INH | J7684 | |
Triamcinolone acetonide | per 10 mg | J3301 | ||
Triamcinolone acetonide | IM | |||
Triamcinolone acetonide XR | 1 mg | IM | J3304 | |
Triamcinolone diacetate | per 5 mg | IM | J3302 | |
Triamcinolone hexacetonide | per 5 mg | VAR | J3303 | |
Triesence | see Triamcinolone acetonide | |||
Triflupromazine HCl | up to 20 mg | IM, IV | J3400 | |
Trilafon | see Perphenazine | |||
Trilog | see Triamcinolone acetonide | |||
Trilone | see Triamcinolone diacetate | |||
Trimethobenzamide HCl, Injection | up to 200 mg | IM | J3250 | |
Trimethobenzamide HCl, oral | 250 mg | ORAL | Q0173 | |
Trimetrexate glucuronate | per 25 mg | IV | J3305 | |
Triptorelin XR | 3.75 mg | SC | J3316 | |
Triptorelin Pamoate | 3.75 mg | SC | J3315 | |
Trisenox | see Arsenic trioxide | |||
Trobicin | see Spectinomycin HCl | |||
Trovan | see Alatrofloxacin mesylate | |||
Tysabri | see Natalizumab | |||
U | ||||
Ultrazine-10 | see Prochlorperazine | |||
Unasyn | see Ampicillin sodium/sulbactam sodium | J3490 | ||
Unclassified drugs (see also not elsewhere classified) | ||||
Unclassified drug or biological used for esrd on dialysis | IV | J3591 | ||
Unspecified oral antiemetic | Q0181 | |||
Urea | up to 40 g | IV | J3350 | |
Ureaphil | see Urea | |||
Urecholine | see Bethanechol chloride | |||
Urofollitropin | 75 iu | J3355 | ||
Urokinase | 5,000 IU vial | IV | J3364 | |
Urokinase | 250,000 IU vial | IV | J3365 | |
Ustekinumab | 1 mg | SC | J3357 | |
Ustekinumab | 1 mg | IV | J3358 | |
V-Gan 25 | see Promethazine HCl | |||
V-Gan 50 | see Promethazine HCl | |||
Valergen 10 | see Estradiol valerate | |||
Valergen 20 | see Estradiol valerate | |||
Valergen 40 | see Estradiol valerate | |||
Valertest No. 1 | see Testosterone enanthate and estradiol valerate | |||
Valertest No. 2 | see Testosterone enanthate and estradiol valerate | |||
Valium | see Diazepam | |||
Valrubicin, intravesical | 200 mg | OTH | J9357 | |
Valstar | see Valrubicin | |||
Vancocin | see Vancomycin HCl | |||
Vancoled | see Vancomycin HCl | |||
Vancomycin HCl | 500 mg | IV, IM | J3370 | |
Vasoxyl | see Methoxamine | HCl | ||
Vedolizumab | 1 mg | IV | J3380 | |
Velaglucerase alfa | 100 units | IV | J3385 | |
Velban | see Vinblastine sulfate | |||
Velsar | see Vinblastine sulfate | |||
Venofer | see Iron sucrose | |||
Ventolin | see Albuterol sulfate | |||
VePesid | see Etoposide and Etoposide oral | |||
Versed | see Midazolam | HCl | ||
Verteporfin | 0.1 mg | IV | J3396 | |
Vesprin | see Triflupromazine HCl | |||
Vestronidase alfa-vjbk | 1 mg | IV | J3397 | |
Viadur | see Leuprolide acetate implant | |||
Vibativ | see Telavancin | |||
Vinblastine sulfate | 1 mg | IV | J9360 | |
Vincasar PFS | see Vincristine sulfate | |||
Vincristine sulfate | 1 mg | IV | J9370 | |
Vincristine sulfate Liposome | 1 mg | IV | J9371 | |
Vinorelbine tartrate | per 10 mg | IV | J9390 | |
Vistaject-25 | see Hydroxyzine | HCl | ||
Vistaril | see Hydroxyzine HCl | |||
Vistide | see cidofovir | |||
Visudyne | see Verteporfin | |||
Vitamin K, phytonadione, menadione, | ||||
menadiol sodium diphosphate | per 1 mg | IM, SC, IV | J3430 | |
Vitamin B-12 cyanocobalamin | up to 1,000 mcg | IM, SC | J3420 | |
Von Willebrand Factor Complex, human | per IU VWF:RCo | IV | J7187 | |
Von Willebrand Factor Complex, human | Per IU VWF:RCo | IV | J7183 | |
Vonvendi | per IU VWF:RCp | IV | J7179 | |
Voretigene neparvovec-rzyl | 1 billion vector genomes | IV | J3398 | |
Voriconazole | 10 mg | IV | J3465 | |
Vpriv | see Velaglucerase alfa | |||
Wehamine | see Dimenhydrinate | |||
Wehdryl | see Diphenhydramine HCl | |||
Wellcovorin | see Leucovorin calcium | |||
Wilate | see Von Willebrand Factor complex (human) | |||
Win Rho SD | see Rho(D)immuglobulin human solvent detergent | |||
Wyamine Sulfate | see Mephentermine sulfate | |||
Wycillin | see Penicillin G procaine | |||
Wydase | see Hyaluronidase | |||
Xeloda | see Capecitabine | |||
Xeomin | see Incobotulinumtoxin type A | |||
Xgeva | see Denosumab | |||
Xiaflex | see Collagenase | |||
Xopenex | see Albuterol | |||
Xylocaine HCl | see Lidocaine HCl | |||
Xyntha | see Factor VIII (anti-hemophilic factor | recombinant)" | ||
Yervoy | see Ipilimumab | |||
Zanosar | see Streptozocin | |||
Zantac | see Ranitidine HCL | |||
Zemplar | see Paricalcitol | |||
Zenapax | see Daclizumab | |||
Zetran | see Diazepam | |||
Ziconotide | 1 mcg | OTH | J2278 | |
Zidovudine | 10 mg | IV | J3485 | |
Zinacef | see Cefuroxime sodium | |||
Ziprasidone Mesylate | 10 mg | IM | J3486 | |
Zithromax | see Azithromycin dihydrate | |||
Zithromax I.V. | see Azithromycin Injection | |||
Ziv-Aflibercept | 1 mg | IV | J9400 | |
Zofran | see Ondansetron HCl | |||
Zoladex | see Goserelin acetate implant | |||
Zoledronic Acid | 1 mg | IV | J3489 | |
Zolicef | see Cefazolin sodium | |||
Zortress | see Everolimus | |||
Zosyn | see Piperacillin | |||
Zyprexa Relprevv | see Olanzapine | |||
Zyvox | see Linezolid |