OMB Memorandum: Managing Federal Contract Performance Issues Associated with the Novel Coronavirus (March 20th, 2020)
J0000–J9999: Drugs Administered Other Than Oral Method
| HCPC | SEQNUM | RECID | LONG DESCRIPTION | SHORT DESCRIPTION |
|---|---|---|---|---|
| J0120 | 0010 | 3 | Injection, tetracycline, up to 250 mg | Tetracyclin injection |
| J0121 | 0010 | 3 | Injection, omadacycline, 1 mg | Inj., omadacycline, 1 mg |
| J0122 | 0010 | 3 | Injection, eravacycline, 1 mg | Inj., eravacycline, 1 mg |
| J0129 | 0010 | 3 | 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) | Abatacept injection |
| J0130 | 0010 | 3 | Injection abciximab, 10 mg | Abciximab injection |
| J0131 | 0010 | 3 | Injection, acetaminophen, 10 mg | Acetaminophen injection |
| J0132 | 0010 | 3 | Injection, acetylcysteine, 100 mg | Acetylcysteine injection |
| J0133 | 0010 | 3 | Injection, acyclovir, 5 mg | Acyclovir injection |
| J0135 | 0010 | 3 | Injection, adalimumab, 20 mg | Adalimumab injection |
| J0150 | 0010 | 3 | Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270) | Injection adenosine 6 mg |
| J0151 | 0010 | 3 | Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use a9270) | Inj adenosine diag 1mg |
| J0153 | 0010 | 3 | Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) | Adenosine inj 1mg |
| J0171 | 0010 | 3 | Injection, adrenalin, epinephrine, 0.1 mg | Adrenalin epinephrine inject |
| J0178 | 0010 | 3 | Injection, aflibercept, 1 mg | Aflibercept injection |
| J0179 | 0010 | 3 | Injection, brolucizumab-dbll, 1 mg | Inj, brolucizumab-dbll, 1 mg |
| J0180 | 0010 | 3 | Injection, agalsidase beta, 1 mg | Agalsidase beta injection |
| J0185 | 0010 | 3 | Injection, aprepitant, 1 mg | Inj., aprepitant, 1 mg |
| J0190 | 0010 | 3 | Injection, biperiden lactate, per 5 mg | Inj biperiden lactate/5 mg |
| J0200 | 0010 | 3 | Injection, alatrofloxacin mesylate, 100 mg | Alatrofloxacin mesylate |
| J0202 | 0010 | 3 | Injection, alemtuzumab, 1 mg | Injection, alemtuzumab |
| J0205 | 0010 | 3 | Injection, alglucerase, per 10 units | Alglucerase injection |
| J0207 | 0010 | 3 | Injection, amifostine, 500 mg | Amifostine |
| J0210 | 0010 | 3 | Injection, methyldopate hcl, up to 250 mg | Methyldopate hcl injection |
| J0215 | 0010 | 3 | Injection, alefacept, 0.5 mg | Alefacept |
| J0220 | 0010 | 3 | Injection, alglucosidase alfa, 10 mg, not otherwise specified | Alglucosidase alfa injection |
| J0221 | 0010 | 3 | Injection, alglucosidase alfa, (lumizyme), 10 mg | Lumizyme injection |
| J0222 | 0010 | 3 | Injection, patisiran, 0.1 mg | Inj., patisiran, 0.1 mg |
| J0256 | 0010 | 3 | Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg | Alpha 1 proteinase inhibitor |
| J0257 | 0010 | 3 | Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg | Glassia injection |
| J0270 | 0010 | 3 | 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) | Alprostadil for injection |
| J0275 | 0010 | 3 | 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) | Alprostadil urethral suppos |
| J0278 | 0010 | 3 | Injection, amikacin sulfate, 100 mg | Amikacin sulfate injection |
| J0280 | 0010 | 3 | Injection, aminophyllin, up to 250 mg | Aminophyllin 250 mg inj |
| J0282 | 0010 | 3 | Injection, amiodarone hydrochloride, 30 mg | Amiodarone hcl |
| J0285 | 0010 | 3 | Injection, amphotericin b, 50 mg | Amphotericin b |
| J0287 | 0010 | 3 | Injection, amphotericin b lipid complex, 10 mg | Amphotericin b lipid complex |
| J0288 | 0010 | 3 | Injection, amphotericin b cholesteryl sulfate complex, 10 mg | Ampho b cholesteryl sulfate |
| J0289 | 0010 | 3 | Injection, amphotericin b liposome, 10 mg | Amphotericin b liposome inj |
| J0290 | 0010 | 3 | Injection, ampicillin sodium, 500 mg | Ampicillin 500 mg inj |
| J0291 | 0010 | 3 | Injection, plazomicin, 5 mg | Inj., plazomicin, 5 mg |
| J0295 | 0010 | 3 | Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm | Ampicillin sulbactam 1.5 gm |
| J0300 | 0010 | 3 | Injection, amobarbital, up to 125 mg | Amobarbital 125 mg inj |
| J0330 | 0010 | 3 | Injection, succinylcholine chloride, up to 20 mg | Succinycholine chloride inj |
| J0348 | 0010 | 3 | Injection, anidulafungin, 1 mg | Anidulafungin injection |
| J0350 | 0010 | 3 | Injection, anistreplase, per 30 units | Injection anistreplase 30 u |
| J0360 | 0010 | 3 | Injection, hydralazine hcl, up to 20 mg | Hydralazine hcl injection |
| J0364 | 0010 | 3 | Injection, apomorphine hydrochloride, 1 mg | Apomorphine hydrochloride |
| J0365 | 0010 | 3 | Injection, aprotonin, 10,000 kiu | Aprotonin, 10,000 kiu |
| J0380 | 0010 | 3 | Injection, metaraminol bitartrate, per 10 mg | Inj metaraminol bitartrate |
| J0390 | 0010 | 3 | Injection, chloroquine hydrochloride, up to 250 mg | Chloroquine injection |
| J0395 | 0010 | 3 | Injection, arbutamine hcl, 1 mg | Arbutamine hcl injection |
| J0400 | 0010 | 3 | Injection, aripiprazole, intramuscular, 0.25 mg | Aripiprazole injection |
| J0401 | 0010 | 3 | Injection, aripiprazole, extended release, 1 mg | Inj aripiprazole ext rel 1mg |
| J0456 | 0010 | 3 | Injection, azithromycin, 500 mg | Azithromycin |
| J0461 | 0010 | 3 | Injection, atropine sulfate, 0.01 mg | Atropine sulfate injection |
| J0470 | 0010 | 3 | Injection, dimercaprol, per 100 mg | Dimecaprol injection |
| J0475 | 0010 | 3 | Injection, baclofen, 10 mg | Baclofen 10 mg injection |
| J0476 | 0010 | 3 | Injection, baclofen, 50 mcg for intrathecal trial | Baclofen intrathecal trial |
| J0480 | 0010 | 3 | Injection, basiliximab, 20 mg | Basiliximab |
| J0485 | 0010 | 3 | Injection, belatacept, 1 mg | Belatacept injection |
| J0490 | 0010 | 3 | Injection, belimumab, 10 mg | Belimumab injection |
| J0500 | 0010 | 3 | Injection, dicyclomine hcl, up to 20 mg | Dicyclomine injection |
| J0515 | 0010 | 3 | Injection, benztropine mesylate, per 1 mg | Inj benztropine mesylate |
| J0517 | 0010 | 3 | Injection, benralizumab, 1 mg | Inj., benralizumab, 1 mg |
| J0520 | 0010 | 3 | Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg | Bethanechol chloride inject |
| J0558 | 0010 | 3 | Injection, penicillin g benzathine and penicillin g procaine, 100,000 units | Peng benzathine/procaine inj |
| J0561 | 0010 | 3 | Injection, penicillin g benzathine, 100,000 units | Penicillin g benzathine inj |
| J0565 | 0010 | 3 | Injection, bezlotoxumab, 10 mg | Inj, bezlotoxumab, 10 mg |
| J0567 | 0010 | 3 | Injection, cerliponase alfa, 1 mg | Inj., cerliponase alfa 1 mg |
| J0570 | 0010 | 3 | Buprenorphine implant, 74.2 mg | Buprenorphine implant 74.2mg |
| J0571 | 0010 | 3 | Buprenorphine, oral, 1 mg | Buprenorphine oral 1mg |
| J0572 | 0010 | 3 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | Bupren/nal up to 3mg bupreno |
| J0573 | 0010 | 3 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | Bupren/nal 3.1 to 6mg bupren |
| J0574 | 0010 | 3 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | Bupren/nal 6.1 to 10mg bupre |
| J0575 | 0010 | 3 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | Bupren/nal over 10mg bupreno |
| J0583 | 0010 | 3 | Injection, bivalirudin, 1 mg | Bivalirudin |
| J0584 | 0010 | 3 | Injection, burosumab-twza 1 mg | Injection, burosumab-twza 1m |
| J0585 | 0010 | 3 | Injection, onabotulinumtoxina, 1 unit | Injection,onabotulinumtoxina |
| J0586 | 0010 | 3 | Injection, abobotulinumtoxina, 5 units | Abobotulinumtoxina |
| J0587 | 0010 | 3 | Injection, rimabotulinumtoxinb, 100 units | Inj, rimabotulinumtoxinb |
| J0588 | 0010 | 3 | Injection, incobotulinumtoxin a, 1 unit | Incobotulinumtoxin a |
| J0592 | 0010 | 3 | Injection, buprenorphine hydrochloride, 0.1 mg | Buprenorphine hydrochloride |
| J0593 | 0010 | 3 | 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) | Inj., lanadelumab-flyo, 1 mg |
| J0594 | 0010 | 3 | injection, busulfan, 1 mg | Busulfan injection |
| J0595 | 0010 | 3 | Injection, butorphanol tartrate, 1 mg | Butorphanol tartrate 1 mg |
| J0596 | 0010 | 3 | Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units | Injection, ruconest |
| J0597 | 0010 | 3 | Injection, c-1 esterase inhibitor (human), berinert, 10 units | C-1 esterase, berinert |
| J0598 | 0010 | 3 | Injection, c-1 esterase inhibitor (human), cinryze, 10 units | C-1 esterase, cinryze |
| J0599 | 0010 | 3 | Injection, c-1 esterase inhibitor (human), (haegarda), 10 units | Inj., haegarda 10 units |
| J0600 | 0010 | 3 | Injection, edetate calcium disodium, up to 1000 mg | Edetate calcium disodium inj |
| J0604 | 0010 | 3 | Cinacalcet, oral, 1 mg, (for esrd on dialysis) | Cinacalcet, esrd on dialysis |
| J0606 | 0010 | 3 | Injection, etelcalcetide, 0.1 mg | Inj, etelcalcetide, 0.1 mg |
| J0610 | 0010 | 3 | Injection, calcium gluconate, per 10 ml | Calcium gluconate injection |
| J0620 | 0010 | 3 | Injection, calcium glycerophosphate and calcium lactate, per 10 ml | Calcium glycer & lact/10 ml |
| J0630 | 0010 | 3 | Injection, calcitonin salmon, up to 400 units | Calcitonin salmon injection |
| J0636 | 0010 | 3 | Injection, calcitriol, 0.1 mcg | Inj calcitriol per 0.1 mcg |
| J0637 | 0010 | 3 | Injection, caspofungin acetate, 5 mg | Caspofungin acetate |
| J0638 | 0010 | 3 | Injection, canakinumab, 1 mg | Canakinumab injection |
| J0640 | 0010 | 3 | Injection, leucovorin calcium, per 50 mg | Leucovorin calcium injection |
| J0641 | 0010 | 3 | Injection, levoleucovorin, not otherwise specified, 0.5 mg | Inj levoleucovorin nos 0.5mg |
| J0642 | 0010 | 3 | Injection, levoleucovorin (khapzory), 0.5 mg | Injection, khapzory, 0.5 mg |
| J0670 | 0010 | 3 | Injection, mepivacaine hydrochloride, per 10 ml | Inj mepivacaine hcl/10 ml |
| J0690 | 0010 | 3 | Injection, cefazolin sodium, 500 mg | Cefazolin sodium injection |
| J0692 | 0010 | 3 | Injection, cefepime hydrochloride, 500 mg | Cefepime hcl for injection |
| J0694 | 0010 | 3 | Injection, cefoxitin sodium, 1 gm | Cefoxitin sodium injection |
| J0695 | 0010 | 3 | Injection, ceftolozane 50 mg and tazobactam 25 mg | Inj ceftolozane tazobactam |
| J0696 | 0010 | 3 | Injection, ceftriaxone sodium, per 250 mg | Ceftriaxone sodium injection |
| J0697 | 0010 | 3 | Injection, sterile cefuroxime sodium, per 750 mg | Sterile cefuroxime injection |
| J0698 | 0010 | 3 | Injection, cefotaxime sodium, per gm | Cefotaxime sodium injection |
| J0702 | 0010 | 3 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | Betamethasone acet&sod phosp |
| J0706 | 0010 | 3 | Injection, caffeine citrate, 5 mg | Caffeine citrate injection |
| J0710 | 0010 | 3 | Injection, cephapirin sodium, up to 1 gm | Cephapirin sodium injection |
| J0712 | 0010 | 3 | Injection, ceftaroline fosamil, 10 mg | Ceftaroline fosamil inj |
| J0713 | 0010 | 3 | Injection, ceftazidime, per 500 mg | Inj ceftazidime per 500 mg |
| J0714 | 0010 | 3 | Injection, ceftazidime and avibactam, 0.5 g/0.125 g | Ceftazidime and avibactam |
| J0715 | 0010 | 3 | Injection, ceftizoxime sodium, per 500 mg | Ceftizoxime sodium / 500 mg |
| J0716 | 0010 | 3 | Injection, centruroides immune f(ab)2, up to 120 milligrams | Centruroides immune f(ab) |
| J0717 | 0010 | 3 | 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) | Certolizumab pegol inj 1mg |
| J0720 | 0010 | 3 | Injection, chloramphenicol sodium succinate, up to 1 gm | Chloramphenicol sodium injec |
| J0725 | 0010 | 3 | Injection, chorionic gonadotropin, per 1,000 usp units | Chorionic gonadotropin/1000u |
| J0735 | 0010 | 3 | Injection, clonidine hydrochloride, 1 mg | Clonidine hydrochloride |
| J0740 | 0010 | 3 | Injection, cidofovir, 375 mg | Cidofovir injection |
| J0743 | 0010 | 3 | Injection, cilastatin sodium; imipenem, per 250 mg | Cilastatin sodium injection |
| J0744 | 0010 | 3 | Injection, ciprofloxacin for intravenous infusion, 200 mg | Ciprofloxacin iv |
| J0745 | 0010 | 3 | Injection, codeine phosphate, per 30 mg | Inj codeine phosphate /30 mg |
| J0760 | 0010 | 3 | Injection, colchicine, per 1 mg | Colchicine injection |
| J0770 | 0010 | 3 | Injection, colistimethate sodium, up to 150 mg | Colistimethate sodium inj |
| J0775 | 0010 | 3 | Injection, collagenase, clostridium histolyticum, 0.01 mg | Collagenase, clost hist inj |
| J0780 | 0010 | 3 | Injection, prochlorperazine, up to 10 mg | Prochlorperazine injection |
| J0795 | 0010 | 3 | Injection, corticorelin ovine triflutate, 1 microgram | Corticorelin ovine triflutal |
| J0800 | 0010 | 3 | Injection, corticotropin, up to 40 units | Corticotropin injection |
| J0833 | 0010 | 3 | Injection, cosyntropin, not otherwise specified, 0.25 mg | Cosyntropin injection nos |
| J0834 | 0010 | 3 | Injection, cosyntropin, 0.25 mg | Inj., cosyntropin, 0.25 mg |
| J0840 | 0010 | 3 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | Crotalidae poly immune fab |
| J0841 | 0010 | 3 | Injection, crotalidae immune f(ab’)2 (equine), 120 mg | Inj crotalidae im f(ab’)2 eq |
| J0850 | 0010 | 3 | Injection, cytomegalovirus immune globulin intravenous (human), per vial | Cytomegalovirus imm iv /vial |
| J0875 | 0010 | 3 | Injection, dalbavancin, 5 mg | Injection, dalbavancin |
| J0878 | 0010 | 3 | Injection, daptomycin, 1 mg | Daptomycin injection |
| J0881 | 0010 | 3 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | Darbepoetin alfa, non-esrd |
| J0882 | 0010 | 3 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | Darbepoetin alfa, esrd use |
| J0883 | 0010 | 3 | Injection, argatroban, 1 mg (for non-esrd use) | Argatroban nonesrd use 1mg |
| J0884 | 0010 | 3 | Injection, argatroban, 1 mg (for esrd on dialysis) | Argatroban esrd dialysis 1mg |
| J0885 | 0010 | 3 | Injection, epoetin alfa, (for non-esrd use), 1000 units | Epoetin alfa, non-esrd |
| J0886 | 0010 | 3 | Injection, epoetin alfa, 1000 units (for esrd on dialysis) | Epoetin alfa 1000 units esrd |
| J0887 | 0010 | 3 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | Epoetin beta esrd use |
| J0888 | 0010 | 3 | Injection, epoetin beta, 1 microgram, (for non esrd use) | Epoetin beta non esrd |
| J0890 | 0010 | 3 | Injection, peginesatide, 0.1 mg (for esrd on dialysis) | Peginesatide injection |
| J0894 | 0010 | 3 | Injection, decitabine, 1 mg | Decitabine injection |
| J0895 | 0010 | 3 | Injection, deferoxamine mesylate, 500 mg | Deferoxamine mesylate inj |
| J0897 | 0010 | 3 | Injection, denosumab, 1 mg | Denosumab injection |
| J0900 | 0010 | 3 | Injection, testosterone enanthate and estradiol valerate, up to 1 cc | Testosterone enanthate inj |
| J0945 | 0010 | 3 | Injection, brompheniramine maleate, per 10 mg | Brompheniramine maleate inj |
| J1000 | 0010 | 3 | Injection, depo-estradiol cypionate, up to 5 mg | Depo-estradiol cypionate inj |
| J1020 | 0010 | 3 | Injection, methylprednisolone acetate, 20 mg | Methylprednisolone 20 mg inj |
| J1030 | 0010 | 3 | Injection, methylprednisolone acetate, 40 mg | Methylprednisolone 40 mg inj |
| J1040 | 0010 | 3 | Injection, methylprednisolone acetate, 80 mg | Methylprednisolone 80 mg inj |
| J1050 | 0010 | 3 | Injection, medroxyprogesterone acetate, 1 mg | Medroxyprogesterone acetate |
| J1060 | 0010 | 3 | Injection, testosterone cypionate and estradiol cypionate, up to 1 ml | Testosterone cypionate 1 ml |
| J1070 | 0010 | 3 | Injection, testosterone cypionate, up to 100 mg | Testosterone cypionat 100 mg |
| J1071 | 0010 | 3 | Injection, testosterone cypionate, 1 mg | Inj testosterone cypionate |
| J1080 | 0010 | 3 | Injection, testosterone cypionate, 1 cc, 200 mg | Testosterone cypionat 200 mg |
| J1094 | 0010 | 3 | Injection, dexamethasone acetate, 1 mg | Inj dexamethasone acetate |
| J1095 | 0010 | 3 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | Injection, dexamethasone 9% |
| J1096 | 0010 | 3 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | Dexametha opth insert 0.1 mg |
| J1097 | 0010 | 3 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | Phenylep ketorolac opth soln |
| J1100 | 0010 | 3 | Injection, dexamethasone sodium phosphate, 1 mg | Dexamethasone sodium phos |
| J1110 | 0010 | 3 | Injection, dihydroergotamine mesylate, per 1 mg | Inj dihydroergotamine mesylt |
| J1120 | 0010 | 3 | Injection, acetazolamide sodium, up to 500 mg | Acetazolamid sodium injectio |
| J1130 | 0010 | 3 | Injection, diclofenac sodium, 0.5 mg | Inj diclofenac sodium 0.5mg |
| J1160 | 0010 | 3 | Injection, digoxin, up to 0.5 mg | Digoxin injection |
| J1162 | 0010 | 3 | Injection, digoxin immune fab (ovine), per vial | Digoxin immune fab (ovine) |
| J1165 | 0010 | 3 | Injection, phenytoin sodium, per 50 mg | Phenytoin sodium injection |
| J1170 | 0010 | 3 | Injection, hydromorphone, up to 4 mg | Hydromorphone injection |
| J1180 | 0010 | 3 | Injection, dyphylline, up to 500 mg | Dyphylline injection |
| J1190 | 0010 | 3 | Injection, dexrazoxane hydrochloride, per 250 mg | Dexrazoxane hcl injection |
| J1200 | 0010 | 3 | Injection, diphenhydramine hcl, up to 50 mg | Diphenhydramine hcl injectio |
| J1205 | 0010 | 3 | Injection, chlorothiazide sodium, per 500 mg | Chlorothiazide sodium inj |
| J1212 | 0010 | 3 | Injection, dmso, dimethyl sulfoxide, 50%, 50 ml | Dimethyl sulfoxide 50% 50 ml |
| J1230 | 0010 | 3 | Injection, methadone hcl, up to 10 mg | Methadone injection |
| J1240 | 0010 | 3 | Injection, dimenhydrinate, up to 50 mg | Dimenhydrinate injection |
| J1245 | 0010 | 3 | Injection, dipyridamole, per 10 mg | Dipyridamole injection |
| J1250 | 0010 | 3 | Injection, dobutamine hydrochloride, per 250 mg | Inj dobutamine hcl/250 mg |
| J1260 | 0010 | 3 | Injection, dolasetron mesylate, 10 mg | Dolasetron mesylate |
| J1265 | 0010 | 3 | Injection, dopamine hcl, 40 mg | Dopamine injection |
| J1267 | 0010 | 3 | Injection, doripenem, 10 mg | Doripenem injection |
| J1270 | 0010 | 3 | Injection, doxercalciferol, 1 mcg | Injection, doxercalciferol |
| J1290 | 0010 | 3 | Injection, ecallantide, 1 mg | Ecallantide injection |
| J1300 | 0010 | 3 | Injection, eculizumab, 10 mg | Eculizumab injection |
| J1301 | 0010 | 3 | Injection, edaravone, 1 mg | Injection, edaravone, 1 mg |
| J1303 | 0010 | 3 | Injection, ravulizumab-cwvz, 10 mg | Inj., ravulizumab-cwvz 10 mg |
| J1320 | 0010 | 3 | Injection, amitriptyline hcl, up to 20 mg | Amitriptyline injection |
| J1322 | 0010 | 3 | Injection, elosulfase alfa, 1 mg | Elosulfase alfa, injection |
| J1324 | 0010 | 3 | Injection, enfuvirtide, 1 mg | Enfuvirtide injection |
| J1325 | 0010 | 3 | Injection, epoprostenol, 0.5 mg | Epoprostenol injection |
| J1327 | 0010 | 3 | Injection, eptifibatide, 5 mg | Eptifibatide injection |
| J1330 | 0010 | 3 | Injection, ergonovine maleate, up to 0.2 mg | Ergonovine maleate injection |
| J1335 | 0010 | 3 | Injection, ertapenem sodium, 500 mg | Ertapenem injection |
| J1364 | 0010 | 3 | Injection, erythromycin lactobionate, per 500 mg | Erythro lactobionate /500 mg |
| J1380 | 0010 | 3 | Injection, estradiol valerate, up to 10 mg | Estradiol valerate 10 mg inj |
| J1410 | 0010 | 3 | Injection, estrogen conjugated, per 25 mg | Inj estrogen conjugate 25 mg |
| J1428 | 0010 | 3 | Injection, eteplirsen, 10 mg | Inj, eteplirsen, 10 mg |
| J1430 | 0010 | 3 | Injection, ethanolamine oleate, 100 mg | Ethanolamine oleate 100 mg |
| J1435 | 0010 | 3 | Injection, estrone, per 1 mg | Injection estrone per 1 mg |
| J1436 | 0010 | 3 | Injection, etidronate disodium, per 300 mg | Etidronate disodium inj |
| J1438 | 0010 | 3 | 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) | Etanercept injection |
| J1439 | 0010 | 3 | Injection, ferric carboxymaltose, 1 mg | Inj ferric carboxymaltos 1mg |
| J1442 | 0010 | 3 | Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram | Inj filgrastim excl biosimil |
| J1443 | 0010 | 3 | Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron | Inj ferric pyrophosphate cit |
| J1444 | 0010 | 3 | Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron | Fe pyro cit pow 0.1 mg iron |
| J1446 | 0010 | 3 | Injection, tbo-filgrastim, 5 micrograms | Inj, tbo-filgrastim, 5 mcg |
| J1447 | 0010 | 3 | Injection, tbo-filgrastim, 1 microgram | Inj tbo filgrastim 1 microg |
| J1450 | 0010 | 3 | Injection fluconazole, 200 mg | Fluconazole |
| J1451 | 0010 | 3 | Injection, fomepizole, 15 mg | Fomepizole, 15 mg |
| J1452 | 0010 | 3 | Injection, fomivirsen sodium, intraocular, 1.65 mg | Intraocular fomivirsen na |
| J1453 | 0010 | 3 | Injection, fosaprepitant, 1 mg | Fosaprepitant injection |
| J1454 | 0010 | 3 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | Inj fosnetupitant, palonoset |
| J1455 | 0010 | 3 | Injection, foscarnet sodium, per 1000 mg | Foscarnet sodium injection |
| J1457 | 0010 | 3 | Injection, gallium nitrate, 1 mg | Gallium nitrate injection |
| J1458 | 0010 | 3 | Injection, galsulfase, 1 mg | Galsulfase injection |
| J1459 | 0010 | 3 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | Inj ivig privigen 500 mg |
| J1460 | 0010 | 3 | Injection, gamma globulin, intramuscular, 1 cc | Gamma globulin 1 cc inj |
| J1555 | 0010 | 3 | Injection, immune globulin (cuvitru), 100 mg | Inj cuvitru, 100 mg |
| J1556 | 0010 | 3 | Injection, immune globulin (bivigam), 500 mg | Inj, imm glob bivigam, 500mg |
| J1557 | 0010 | 3 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | Gammaplex injection |
| J1559 | 0010 | 3 | Injection, immune globulin (hizentra), 100 mg | Hizentra injection |
| J1560 | 0010 | 3 | Injection, gamma globulin, intramuscular, over 10 cc | Gamma globulin > 10 cc inj |
| J1561 | 0010 | 3 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | Gamunex-c/gammaked |
| J1562 | 0010 | 3 | Injection, immune globulin (vivaglobin), 100 mg | Vivaglobin, inj |
| J1566 | 0010 | 3 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | Immune globulin, powder |
| J1568 | 0010 | 3 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | Octagam injection |
| J1569 | 0010 | 3 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | Gammagard liquid injection |
| J1570 | 0010 | 3 | Injection, ganciclovir sodium, 500 mg | Ganciclovir sodium injection |
| J1571 | 0010 | 3 | Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml | Hepagam b im injection |
| J1572 | 0010 | 3 | Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg | Flebogamma injection |
| J1573 | 0010 | 3 | Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml | Hepagam b intravenous, inj |
| J1575 | 0010 | 3 | Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin | Hyqvia 100mg immuneglobulin |
| J1580 | 0010 | 3 | Injection, garamycin, gentamicin, up to 80 mg | Garamycin gentamicin inj |
| J1590 | 0010 | 3 | Injection, gatifloxacin, 10 mg | Gatifloxacin injection |
| J1595 | 0010 | 3 | Injection, glatiramer acetate, 20 mg | Injection glatiramer acetate |
| J1599 | 0010 | 3 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg | Ivig non-lyophilized, nos |
| J1600 | 0010 | 3 | Injection, gold sodium thiomalate, up to 50 mg | Gold sodium thiomaleate inj |
| J1602 | 0010 | 3 | Injection, golimumab, 1 mg, for intravenous use | Golimumab for iv use 1mg |
| J1610 | 0010 | 3 | Injection, glucagon hydrochloride, per 1 mg | Glucagon hydrochloride/1 mg |
| J1620 | 0010 | 3 | Injection, gonadorelin hydrochloride, per 100 mcg | Gonadorelin hydroch/ 100 mcg |
| J1626 | 0010 | 3 | Injection, granisetron hydrochloride, 100 mcg | Granisetron hcl injection |
| J1627 | 0010 | 3 | Injection, granisetron, extended-release, 0.1 mg | Inj, granisetron, xr, 0.1 mg |
| J1628 | 0010 | 3 | Injection, guselkumab, 1 mg | Inj., guselkumab, 1 mg |
| J1630 | 0010 | 3 | Injection, haloperidol, up to 5 mg | Haloperidol injection |
| J1631 | 0010 | 3 | Injection, haloperidol decanoate, per 50 mg | Haloperidol decanoate inj |
| J1640 | 0010 | 3 | Injection, hemin, 1 mg | Hemin, 1 mg |
| J1642 | 0010 | 3 | Injection, heparin sodium, (heparin lock flush), per 10 units | Inj heparin sodium per 10 u |
| J1644 | 0010 | 3 | Injection, heparin sodium, per 1000 units | Inj heparin sodium per 1000u |
| J1645 | 0010 | 3 | Injection, dalteparin sodium, per 2500 iu | Dalteparin sodium |
| J1650 | 0010 | 3 | Injection, enoxaparin sodium, 10 mg | Inj enoxaparin sodium |
| J1652 | 0010 | 3 | Injection, fondaparinux sodium, 0.5 mg | Fondaparinux sodium |
| J1655 | 0010 | 3 | Injection, tinzaparin sodium, 1000 iu | Tinzaparin sodium injection |
| J1670 | 0010 | 3 | Injection, tetanus immune globulin, human, up to 250 units | Tetanus immune globulin inj |
| J1675 | 0010 | 3 | Injection, histrelin acetate, 10 micrograms | Histrelin acetate |
| J1700 | 0010 | 3 | Injection, hydrocortisone acetate, up to 25 mg | Hydrocortisone acetate inj |
| J1710 | 0010 | 3 | Injection, hydrocortisone sodium phosphate, up to 50 mg | Hydrocortisone sodium ph inj |
| J1720 | 0010 | 3 | Injection, hydrocortisone sodium succinate, up to 100 mg | Hydrocortisone sodium succ i |
| J1725 | 0010 | 3 | Injection, hydroxyprogesterone caproate, 1 mg | Hydroxyprogesterone caproate |
| J1726 | 0010 | 3 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | Makena, 10 mg |
| J1729 | 0010 | 3 | Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg | Inj hydroxyprogst capoat nos |
| J1730 | 0010 | 3 | Injection, diazoxide, up to 300 mg | Diazoxide injection |
| J1740 | 0010 | 3 | Injection, ibandronate sodium, 1 mg | Ibandronate sodium injection |
| J1741 | 0010 | 3 | Injection, ibuprofen, 100 mg | Ibuprofen injection |
| J1742 | 0010 | 3 | Injection, ibutilide fumarate, 1 mg | Ibutilide fumarate injection |
| J1743 | 0010 | 3 | Injection, idursulfase, 1 mg | Idursulfase injection |
| J1744 | 0010 | 3 | Injection, icatibant, 1 mg | Icatibant injection |
| J1745 | 0010 | 3 | Injection, infliximab, excludes biosimilar, 10 mg | Infliximab not biosimil 10mg |
| J1746 | 0010 | 3 | Injection, ibalizumab-uiyk, 10 mg | Inj., ibalizumab-uiyk, 10 mg |
| J1750 | 0010 | 3 | Injection, iron dextran, 50 mg | Inj iron dextran |
| J1756 | 0010 | 3 | Injection, iron sucrose, 1 mg | Iron sucrose injection |
| J1786 | 0010 | 3 | Injection, imiglucerase, 10 units | Imuglucerase injection |
| J1790 | 0010 | 3 | Injection, droperidol, up to 5 mg | Droperidol injection |
| J1800 | 0010 | 3 | Injection, propranolol hcl, up to 1 mg | Propranolol injection |
| J1810 | 0010 | 3 | Injection, droperidol and fentanyl citrate, up to 2 ml ampule | Droperidol/fentanyl inj |
| J1815 | 0010 | 3 | Injection, insulin, per 5 units | Insulin injection |
| J1817 | 0010 | 3 | Insulin for administration through dme (i.e., insulin pump) per 50 units | Insulin for insulin pump use |
| J1826 | 0010 | 3 | Injection, interferon beta-1a, 30 mcg | Interferon beta-1a inj |
| J1830 | 0010 | 3 | 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) | Interferon beta-1b / .25 mg |
| J1833 | 0010 | 3 | Injection, isavuconazonium, 1 mg | Injection, isavuconazonium |
| J1835 | 0010 | 3 | Injection, itraconazole, 50 mg | Itraconazole injection |
| J1840 | 0010 | 3 | Injection, kanamycin sulfate, up to 500 mg | Kanamycin sulfate 500 mg inj |
| J1850 | 0010 | 3 | Injection, kanamycin sulfate, up to 75 mg | Kanamycin sulfate 75 mg inj |
| J1885 | 0010 | 3 | Injection, ketorolac tromethamine, per 15 mg | Ketorolac tromethamine inj |
| J1890 | 0010 | 3 | Injection, cephalothin sodium, up to 1 gram | Cephalothin sodium injection |
| J1930 | 0010 | 3 | Injection, lanreotide, 1 mg | Lanreotide injection |
| J1931 | 0010 | 3 | Injection, laronidase, 0.1 mg | Laronidase injection |
| J1940 | 0010 | 3 | Injection, furosemide, up to 20 mg | Furosemide injection |
| J1942 | 0010 | 3 | Injection, aripiprazole lauroxil, 1 mg | Aripiprazole lauroxil 1mg |
| J1943 | 0010 | 3 | Injection, aripiprazole lauroxil, (aristada initio), 1 mg | Inj., aristada initio, 1 mg |
| J1944 | 0010 | 3 | Injection, aripiprazole lauroxil, (aristada), 1 mg | Aripirazole lauroxil 1 mg |
| J1945 | 0010 | 3 | Injection, lepirudin, 50 mg | Lepirudin |
| J1950 | 0010 | 3 | Injection, leuprolide acetate (for depot suspension), per 3.75 mg | Leuprolide acetate /3.75 mg |
| J1953 | 0010 | 3 | Injection, levetiracetam, 10 mg | Levetiracetam injection |
| J1955 | 0010 | 3 | Injection, levocarnitine, per 1 gm | Inj levocarnitine per 1 gm |
| J1956 | 0010 | 3 | Injection, levofloxacin, 250 mg | Levofloxacin injection |
| J1960 | 0010 | 3 | Injection, levorphanol tartrate, up to 2 mg | Levorphanol tartrate inj |
| J1980 | 0010 | 3 | Injection, hyoscyamine sulfate, up to 0.25 mg | Hyoscyamine sulfate inj |
| J1990 | 0010 | 3 | Injection, chlordiazepoxide hcl, up to 100 mg | Chlordiazepoxide injection |
| J2001 | 0010 | 3 | Injection, lidocaine hcl for intravenous infusion, 10 mg | Lidocaine injection |
| J2010 | 0010 | 3 | Injection, lincomycin hcl, up to 300 mg | Lincomycin injection |
| J2020 | 0010 | 3 | Injection, linezolid, 200 mg | Linezolid injection |
| J2060 | 0010 | 3 | Injection, lorazepam, 2 mg | Lorazepam injection |
| J2062 | 0010 | 3 | Loxapine for inhalation, 1 mg | Loxapine for inhalation 1 mg |
| J2150 | 0010 | 3 | Injection, mannitol, 25% in 50 ml | Mannitol injection |
| J2170 | 0010 | 3 | Injection, mecasermin, 1 mg | Mecasermin injection |
| J2175 | 0010 | 3 | Injection, meperidine hydrochloride, per 100 mg | Meperidine hydrochl /100 mg |
| J2180 | 0010 | 3 | Injection, meperidine and promethazine hcl, up to 50 mg | Meperidine/promethazine inj |
| J2182 | 0010 | 3 | Injection, mepolizumab, 1 mg | Injection, mepolizumab, 1mg |
| J2185 | 0010 | 3 | Injection, meropenem, 100 mg | Meropenem |
| J2186 | 0010 | 3 | Injection, meropenem and vaborbactam, 10mg/10mg (20mg) | Inj., meropenem, vaborbactam |
| J2210 | 0010 | 3 | Injection, methylergonovine maleate, up to 0.2 mg | Methylergonovin maleate inj |
| J2212 | 0010 | 3 | Injection, methylnaltrexone, 0.1 mg | Methylnaltrexone injection |
| J2248 | 0010 | 3 | Injection, micafungin sodium, 1 mg | Micafungin sodium injection |
| J2250 | 0010 | 3 | Injection, midazolam hydrochloride, per 1 mg | Inj midazolam hydrochloride |
| J2260 | 0010 | 3 | Injection, milrinone lactate, 5 mg | Inj milrinone lactate / 5 mg |
| J2265 | 0010 | 3 | Injection, minocycline hydrochloride, 1 mg | Minocycline hydrochloride |
| J2270 | 0010 | 3 | Injection, morphine sulfate, up to 10 mg | Morphine sulfate injection |
| J2271 | 0010 | 3 | Injection, morphine sulfate, 100mg | Morphine so4 injection 100mg |
| J2274 | 0010 | 3 | Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg | Inj morphine pf epid ithc |
| J2275 | 0010 | 3 | Injection, morphine sulfate (preservative-free sterile solution), per 10 mg | Morphine sulfate injection |
| J2278 | 0010 | 3 | Injection, ziconotide, 1 microgram | Ziconotide injection |
| J2280 | 0010 | 3 | Injection, moxifloxacin, 100 mg | Inj, moxifloxacin 100 mg |
| J2300 | 0010 | 3 | Injection, nalbuphine hydrochloride, per 10 mg | Inj nalbuphine hydrochloride |
| J2310 | 0010 | 3 | Injection, naloxone hydrochloride, per 1 mg | Inj naloxone hydrochloride |
| J2315 | 0010 | 3 | Injection, naltrexone, depot form, 1 mg | Naltrexone, depot form |
| J2320 | 0010 | 3 | Injection, nandrolone decanoate, up to 50 mg | Nandrolone decanoate 50 mg |
| J2323 | 0010 | 3 | Injection, natalizumab, 1 mg | Natalizumab injection |
| J2325 | 0010 | 3 | Injection, nesiritide, 0.1 mg | Nesiritide injection |
| J2326 | 0010 | 3 | Injection, nusinersen, 0.1 mg | Inj, nusinersen, 0.1mg |
| J2350 | 0010 | 3 | Injection, ocrelizumab, 1 mg | Injection, ocrelizumab, 1 mg |
| J2353 | 0010 | 3 | Injection, octreotide, depot form for intramuscular injection, 1 mg | Octreotide injection, depot |
| J2354 | 0010 | 3 | Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg | Octreotide inj, non-depot |
| J2355 | 0010 | 3 | Injection, oprelvekin, 5 mg | Oprelvekin injection |
| J2357 | 0010 | 3 | Injection, omalizumab, 5 mg | Omalizumab injection |
| J2358 | 0010 | 3 | Injection, olanzapine, long-acting, 1 mg | Olanzapine long-acting inj |
| J2360 | 0010 | 3 | Injection, orphenadrine citrate, up to 60 mg | Orphenadrine injection |
| J2370 | 0010 | 3 | Injection, phenylephrine hcl, up to 1 ml | Phenylephrine hcl injection |
| J2400 | 0010 | 3 | Injection, chloroprocaine hydrochloride, per 30 ml | Chloroprocaine hcl injection |
| J2405 | 0010 | 3 | Injection, ondansetron hydrochloride, per 1 mg | Ondansetron hcl injection |
| J2407 | 0010 | 3 | Injection, oritavancin, 10 mg | Injection, oritavancin |
| J2410 | 0010 | 3 | Injection, oxymorphone hcl, up to 1 mg | Oxymorphone hcl injection |
| J2425 | 0010 | 3 | Injection, palifermin, 50 micrograms | Palifermin injection |
| J2426 | 0010 | 3 | Injection, paliperidone palmitate extended release, 1 mg | Paliperidone palmitate inj |
| J2430 | 0010 | 3 | Injection, pamidronate disodium, per 30 mg | Pamidronate disodium /30 mg |
| J2440 | 0010 | 3 | Injection, papaverine hcl, up to 60 mg | Papaverin hcl injection |
| J2460 | 0010 | 3 | Injection, oxytetracycline hcl, up to 50 mg | Oxytetracycline injection |
| J2469 | 0010 | 3 | Injection, palonosetron hcl, 25 mcg | Palonosetron hcl |
| J2501 | 0010 | 3 | Injection, paricalcitol, 1 mcg | Paricalcitol |
| J2502 | 0010 | 3 | Injection, pasireotide long acting, 1 mg | Inj, pasireotide long acting |
| J2503 | 0010 | 3 | Injection, pegaptanib sodium, 0.3 mg | Pegaptanib sodium injection |
| J2504 | 0010 | 3 | Injection, pegademase bovine, 25 iu | Pegademase bovine, 25 iu |
| J2505 | 0010 | 3 | Injection, pegfilgrastim, 6 mg | Injection, pegfilgrastim 6mg |
| J2507 | 0010 | 3 | Injection, pegloticase, 1 mg | Pegloticase injection |
| J2510 | 0010 | 3 | Injection, penicillin g procaine, aqueous, up to 600,000 units | Penicillin g procaine inj |
| J2513 | 0010 | 3 | Injection, pentastarch, 10% solution, 100 ml | Pentastarch 10% solution |
| J2515 | 0010 | 3 | Injection, pentobarbital sodium, per 50 mg | Pentobarbital sodium inj |
| J2540 | 0010 | 3 | Injection, penicillin g potassium, up to 600,000 units | Penicillin g potassium inj |
| J2543 | 0010 | 3 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | Piperacillin/tazobactam |
| J2545 | 0010 | 3 | Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg | Pentamidine non-comp unit |
| J2547 | 0010 | 3 | Injection, peramivir, 1 mg | Injection, peramivir |
| J2550 | 0010 | 3 | Injection, promethazine hcl, up to 50 mg | Promethazine hcl injection |
| J2560 | 0010 | 3 | Injection, phenobarbital sodium, up to 120 mg | Phenobarbital sodium inj |
| J2562 | 0010 | 3 | Injection, plerixafor, 1 mg | Plerixafor injection |
| J2590 | 0010 | 3 | Injection, oxytocin, up to 10 units | Oxytocin injection |
| J2597 | 0010 | 3 | Injection, desmopressin acetate, per 1 mcg | Inj desmopressin acetate |
| J2650 | 0010 | 3 | Injection, prednisolone acetate, up to 1 ml | Prednisolone acetate inj |
| J2670 | 0010 | 3 | Injection, tolazoline hcl, up to 25 mg | Totazoline hcl injection |
| J2675 | 0010 | 3 | Injection, progesterone, per 50 mg | Inj progesterone per 50 mg |
| J2680 | 0010 | 3 | Injection, fluphenazine decanoate, up to 25 mg | Fluphenazine decanoate 25 mg |
| J2690 | 0010 | 3 | Injection, procainamide hcl, up to 1 gm | Procainamide hcl injection |
| J2700 | 0010 | 3 | Injection, oxacillin sodium, up to 250 mg | Oxacillin sodium injeciton |
| J2704 | 0010 | 3 | Injection, propofol, 10 mg | Inj, propofol, 10 mg |
| J2710 | 0010 | 3 | Injection, neostigmine methylsulfate, up to 0.5 mg | Neostigmine methylslfte inj |
| J2720 | 0010 | 3 | Injection, protamine sulfate, per 10 mg | Inj protamine sulfate/10 mg |
| J2724 | 0010 | 3 | Injection, protein c concentrate, intravenous, human, 10 iu | Protein c concentrate |
| J2725 | 0010 | 3 | Injection, protirelin, per 250 mcg | Inj protirelin per 250 mcg |
| J2730 | 0010 | 3 | Injection, pralidoxime chloride, up to 1 gm | Pralidoxime chloride inj |
| J2760 | 0010 | 3 | Injection, phentolamine mesylate, up to 5 mg | Phentolaine mesylate inj |
| J2765 | 0010 | 3 | Injection, metoclopramide hcl, up to 10 mg | Metoclopramide hcl injection |
| J2770 | 0010 | 3 | Injection, quinupristin/dalfopristin, 500 mg (150/350) | Quinupristin/dalfopristin |
| J2778 | 0010 | 3 | Injection, ranibizumab, 0.1 mg | Ranibizumab injection |
| J2780 | 0010 | 3 | Injection, ranitidine hydrochloride, 25 mg | Ranitidine hydrochloride inj |
| J2783 | 0010 | 3 | Injection, rasburicase, 0.5 mg | Rasburicase |
| J2785 | 0010 | 3 | Injection, regadenoson, 0.1 mg | Regadenoson injection |
| J2786 | 0010 | 3 | Injection, reslizumab, 1 mg | Injection, reslizumab, 1mg |
| J2787 | 0010 | 3 | Riboflavin 5’-phosphate, ophthalmic solution, up to 3 ml | Riboflavin 5’phos opth<=3ml |
| J2788 | 0010 | 3 | Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) | Rho d immune globulin 50 mcg |
| J2790 | 0010 | 3 | Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) | Rho d immune globulin inj |
| J2791 | 0010 | 3 | Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu | Rhophylac injection |
| J2792 | 0010 | 3 | Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu | Rho(d) immune globulin h, sd |
| J2793 | 0010 | 3 | Injection, rilonacept, 1 mg | Rilonacept injection |
| J2794 | 0010 | 3 | Injection, risperidone (risperdal consta), 0.5 mg | Inj risperdal consta, 0.5 mg |
| J2795 | 0010 | 3 | Injection, ropivacaine hydrochloride, 1 mg | Ropivacaine hcl injection |
| J2796 | 0010 | 3 | Injection, romiplostim, 10 micrograms | Romiplostim injection |
| J2797 | 0010 | 3 | Injection, rolapitant, 0.5 mg | Inj., rolapitant, 0.5 mg |
| J2798 | 0010 | 3 | Injection, risperidone, (perseris), 0.5 mg | Inj., perseris, 0.5 mg |
| J2800 | 0010 | 3 | Injection, methocarbamol, up to 10 ml | Methocarbamol injection |
| J2805 | 0010 | 3 | Injection, sincalide, 5 micrograms | Sincalide injection |
| J2810 | 0010 | 3 | Injection, theophylline, per 40 mg | Inj theophylline per 40 mg |
| J2820 | 0010 | 3 | Injection, sargramostim (gm-csf), 50 mcg | Sargramostim injection |
| J2840 | 0010 | 3 | Injection, sebelipase alfa, 1 mg | Inj sebelipase alfa 1 mg |
| J2850 | 0010 | 3 | Injection, secretin, synthetic, human, 1 microgram | Inj secretin synthetic human |
| J2860 | 0010 | 3 | Injection, siltuximab, 10 mg | Injection, siltuximab |
| J2910 | 0010 | 3 | Injection, aurothioglucose, up to 50 mg | Aurothioglucose injeciton |
| J2916 | 0010 | 3 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | Na ferric gluconate complex |
| J2920 | 0010 | 3 | Injection, methylprednisolone sodium succinate, up to 40 mg | Methylprednisolone injection |
| J2930 | 0010 | 3 | Injection, methylprednisolone sodium succinate, up to 125 mg | Methylprednisolone injection |
| J2940 | 0010 | 3 | Injection, somatrem, 1 mg | Somatrem injection |
| J2941 | 0010 | 3 | Injection, somatropin, 1 mg | Somatropin injection |
| J2950 | 0010 | 3 | Injection, promazine hcl, up to 25 mg | Promazine hcl injection |
| J2993 | 0010 | 3 | Injection, reteplase, 18.1 mg | Reteplase injection |
| J2995 | 0010 | 3 | Injection, streptokinase, per 250,000 iu | Inj streptokinase /250000 iu |
| J2997 | 0010 | 3 | Injection, alteplase recombinant, 1 mg | Alteplase recombinant |
| J3000 | 0010 | 3 | Injection, streptomycin, up to 1 gm | Streptomycin injection |
| J3010 | 0010 | 3 | Injection, fentanyl citrate, 0.1 mg | Fentanyl citrate injection |
| J3030 | 0010 | 3 | 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) | Sumatriptan succinate / 6 mg |
| J3031 | 0010 | 3 | 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) | Inj., fremanezumab-vfrm 1 mg |
| J3060 | 0010 | 3 | Injection, taliglucerase alfa, 10 units | Inj, taliglucerase alfa 10 u |
| J3070 | 0010 | 3 | Injection, pentazocine, 30 mg | Pentazocine injection |
| J3090 | 0010 | 3 | Injection, tedizolid phosphate, 1 mg | Inj tedizolid phosphate |
| J3095 | 0010 | 3 | Injection, telavancin, 10 mg | Telavancin injection |
| J3101 | 0010 | 3 | Injection, tenecteplase, 1 mg | Tenecteplase injection |
| J3105 | 0010 | 3 | Injection, terbutaline sulfate, up to 1 mg | Terbutaline sulfate inj |
| J3110 | 0010 | 3 | Injection, teriparatide, 10 mcg | Teriparatide injection |
| J3111 | 0010 | 3 | Injection, romosozumab-aqqg, 1 mg | Inj. romosozumab-aqqg 1 mg |
| J3120 | 0010 | 3 | Injection, testosterone enanthate, up to 100 mg | Testosterone enanthate inj |
| J3121 | 0010 | 3 | Injection, testosterone enanthate, 1 mg | Inj testostero enanthate 1mg |
| J3130 | 0010 | 3 | Injection, testosterone enanthate, up to 200 mg | Testosterone enanthate inj |
| J3140 | 0010 | 3 | Injection, testosterone suspension, up to 50 mg | Testosterone suspension inj |
| J3145 | 0010 | 3 | Injection, testosterone undecanoate, 1 mg | Testosterone undecanoate 1mg |
| J3150 | 0010 | 3 | Injection, testosterone propionate, up to 100 mg | Testosteron propionate inj |
| J3230 | 0010 | 3 | Injection, chlorpromazine hcl, up to 50 mg | Chlorpromazine hcl injection |
| J3240 | 0010 | 3 | Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial | Thyrotropin injection |
| J3243 | 0010 | 3 | Injection, tigecycline, 1 mg | Tigecycline injection |
| J3245 | 0010 | 3 | Injection, tildrakizumab, 1 mg | Inj., tildrakizumab, 1 mg |
| J3246 | 0010 | 3 | Injection, tirofiban hcl, 0.25 mg | Tirofiban hcl |
| J3250 | 0010 | 3 | Injection, trimethobenzamide hcl, up to 200 mg | Trimethobenzamide hcl inj |
| J3260 | 0010 | 3 | Injection, tobramycin sulfate, up to 80 mg | Tobramycin sulfate injection |
| J3262 | 0010 | 3 | Injection, tocilizumab, 1 mg | Tocilizumab injection |
| J3265 | 0010 | 3 | Injection, torsemide, 10 mg/ml | Injection torsemide 10 mg/ml |
| J3280 | 0010 | 3 | Injection, thiethylperazine maleate, up to 10 mg | Thiethylperazine maleate inj |
| J3285 | 0010 | 3 | Injection, treprostinil, 1 mg | Treprostinil injection |
| J3300 | 0010 | 3 | Injection, triamcinolone acetonide, preservative free, 1 mg | Triamcinolone a inj prs-free |
| J3301 | 0010 | 3 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Triamcinolone acet inj nos |
| J3302 | 0010 | 3 | Injection, triamcinolone diacetate, per 5 mg | Triamcinolone diacetate inj |
| J3303 | 0010 | 3 | Injection, triamcinolone hexacetonide, per 5 mg | Triamcinolone hexacetonl inj |
| J3304 | 0010 | 3 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | Inj triamcinolone ace xr 1mg |
| J3305 | 0010 | 3 | Injection, trimetrexate glucuronate, per 25 mg | Inj trimetrexate glucoronate |
| J3310 | 0010 | 3 | Injection, perphenazine, up to 5 mg | Perphenazine injeciton |
| J3315 | 0010 | 3 | Injection, triptorelin pamoate, 3.75 mg | Triptorelin pamoate |
| J3316 | 0010 | 3 | Injection, triptorelin, extended-release, 3.75 mg | Inj., triptorelin xr 3.75 mg |
| J3320 | 0010 | 3 | Injection, spectinomycin dihydrochloride, up to 2 gm | Spectinomycn di-hcl inj |
| J3350 | 0010 | 3 | Injection, urea, up to 40 gm | Urea injection |
| J3355 | 0010 | 3 | Injection, urofollitropin, 75 iu | Urofollitropin, 75 iu |
| J3357 | 0010 | 3 | Ustekinumab, for subcutaneous injection, 1 mg | Ustekinumab sub cu inj, 1 mg |
| J3358 | 0010 | 3 | Ustekinumab, for intravenous injection, 1 mg | Ustekinumab, iv inject, 1 mg |
| J3360 | 0010 | 3 | Injection, diazepam, up to 5 mg | Diazepam injection |
| J3364 | 0010 | 3 | Injection, urokinase, 5000 iu vial | Urokinase 5000 iu injection |
| J3365 | 0010 | 3 | Injection, iv, urokinase, 250,000 i.u. vial | Urokinase 250,000 iu inj |
| J3370 | 0010 | 3 | Injection, vancomycin hcl, 500 mg | Vancomycin hcl injection |
| J3380 | 0010 | 3 | Injection, vedolizumab, 1 mg | Injection, vedolizumab |
| J3385 | 0010 | 3 | Injection, velaglucerase alfa, 100 units | Velaglucerase alfa |
| J3396 | 0010 | 3 | Injection, verteporfin, 0.1 mg | Verteporfin injection |
| J3397 | 0010 | 3 | Injection, vestronidase alfa-vjbk, 1 mg | Inj., vestronidase alfa-vjbk |
| J3398 | 0010 | 3 | Injection, voretigene neparvovec-rzyl, 1 billion vector genomes | Inj luxturna 1 billion vec g |
| J3400 | 0010 | 3 | Injection, triflupromazine hcl, up to 20 mg | Triflupromazine hcl inj |
| J3410 | 0010 | 3 | Injection, hydroxyzine hcl, up to 25 mg | Hydroxyzine hcl injection |
| J3411 | 0010 | 3 | Injection, thiamine hcl, 100 mg | Thiamine hcl 100 mg |
| J3415 | 0010 | 3 | Injection, pyridoxine hcl, 100 mg | Pyridoxine hcl 100 mg |
| J3420 | 0010 | 3 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | Vitamin b12 injection |
| J3430 | 0010 | 3 | Injection, phytonadione (vitamin k), per 1 mg | Vitamin k phytonadione inj |
| J3465 | 0010 | 3 | Injection, voriconazole, 10 mg | Injection, voriconazole |
| J3470 | 0010 | 3 | Injection, hyaluronidase, up to 150 units | Hyaluronidase injection |
| J3471 | 0010 | 3 | Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) | Ovine, up to 999 usp units |
| J3472 | 0010 | 3 | Injection, hyaluronidase, ovine, preservative free, per 1000 usp units | Ovine, 1000 usp units |
| J3473 | 0010 | 3 | Injection, hyaluronidase, recombinant, 1 usp unit | Hyaluronidase recombinant |
| J3475 | 0010 | 3 | Injection, magnesium sulfate, per 500 mg | Inj magnesium sulfate |
| J3480 | 0010 | 3 | Injection, potassium chloride, per 2 meq | Inj potassium chloride |
| J3485 | 0010 | 3 | Injection, zidovudine, 10 mg | Zidovudine |
| J3486 | 0010 | 3 | Injection, ziprasidone mesylate, 10 mg | Ziprasidone mesylate |
| J3489 | 0010 | 3 | Injection, zoledronic acid, 1 mg | Zoledronic acid 1mg |
| J3490 | 0010 | 3 | Unclassified drugs | Drugs unclassified injection |
| J3520 | 0010 | 3 | Edetate disodium, per 150 mg | Edetate disodium per 150 mg |
| J3530 | 0010 | 3 | Nasal vaccine inhalation | Nasal vaccine inhalation |
| J3535 | 0010 | 3 | Drug administered through a metered dose inhaler | Metered dose inhaler drug |
| J3570 | 0010 | 3 | Laetrile, amygdalin, vitamin b17 | Laetrile amygdalin vit b17 |
| J3590 | 0010 | 3 | Unclassified biologics | Unclassified biologics |
| J3591 | 0010 | 3 | Unclassified drug or biological used for esrd on dialysis | Esrd on dialysi drug/bio noc |
| J7030 | 0010 | 3 | Infusion, normal saline solution , 1000 cc | Normal saline solution infus |
| J7040 | 0010 | 3 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | Normal saline solution infus |
| J7042 | 0010 | 3 | 5% dextrose/normal saline (500 ml = 1 unit) | 5% dextrose/normal saline |
| J7050 | 0010 | 3 | Infusion, normal saline solution, 250 cc | Normal saline solution infus |
| J7060 | 0010 | 3 | 5% dextrose/water (500 ml = 1 unit) | 5% dextrose/water |
| J7070 | 0010 | 3 | Infusion, d5w, 1000 cc | D5w infusion |
| J7100 | 0010 | 3 | Infusion, dextran 40, 500 ml | Dextran 40 infusion |
| J7110 | 0010 | 3 | Infusion, dextran 75, 500 ml | Dextran 75 infusion |
| J7120 | 0010 | 3 | Ringers lactate infusion, up to 1000 cc | Ringers lactate infusion |
| J7121 | 0010 | 3 | 5% dextrose in lactated ringers infusion, up to 1000 cc | 5% dextrose in lac ringers |
| J7131 | 0010 | 3 | Hypertonic saline solution, 1 ml | Hypertonic saline sol |
| J7170 | 0010 | 3 | Injection, emicizumab-kxwh, 0.5 mg | Inj., emicizumab-kxwh 0.5 mg |
| J7175 | 0010 | 3 | Injection, factor x, (human), 1 i.u. | Inj, factor x, (human), 1iu |
| J7177 | 0010 | 3 | Injection, human fibrinogen concentrate (fibryga), 1 mg | Inj., fibryga, 1 mg |
| J7178 | 0010 | 3 | Injection, human fibrinogen concentrate, not otherwise specified, 1 mg | Inj human fibrinogen con nos |
| J7179 | 0010 | 3 | Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco | Vonvendi inj 1 iu vwf:rco |
| J7180 | 0010 | 3 | Injection, factor xiii (antihemophilic factor, human), 1 i.u. | Factor xiii anti-hem factor |
| J7181 | 0010 | 3 | Injection, factor xiii a-subunit, (recombinant), per iu | Factor xiii recomb a-subunit |
| J7182 | 0010 | 3 | Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu | Factor viii recomb novoeight |
| J7183 | 0010 | 3 | Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco | Wilate injection |
| J7185 | 0010 | 3 | Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. | Xyntha inj |
| J7186 | 0010 | 3 | Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. | Antihemophilic viii/vwf comp |
| J7187 | 0010 | 3 | Injection, von willebrand factor complex (humate-p), per iu vwf:rco | Humate-p, inj |
| J7188 | 0010 | 3 | Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. | Factor viii recomb obizur |
| J7189 | 0010 | 3 | Factor viia (antihemophilic factor, recombinant), per 1 microgram | Factor viia |
| J7190 | 0010 | 3 | Factor viii (antihemophilic factor, human) per i.u. | Factor viii |
| J7191 | 0010 | 3 | Factor viii (antihemophilic factor (porcine)), per i.u. | Factor viii (porcine) |
| J7192 | 0010 | 3 | Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified | Factor viii recombinant nos |
| J7193 | 0010 | 3 | Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. | Factor ix non-recombinant |
| J7194 | 0010 | 3 | Factor ix, complex, per i.u. | Factor ix complex |
| J7195 | 0010 | 3 | Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified | Factor ix recombinant nos |
| J7196 | 0010 | 3 | Injection, antithrombin recombinant, 50 i.u. | Antithrombin recombinant |
| J7197 | 0010 | 3 | Antithrombin iii (human), per i.u. | Antithrombin iii injection |
| J7198 | 0010 | 3 | Anti-inhibitor, per i.u. | Anti-inhibitor |
| J7199 | 0010 | 3 | Hemophilia clotting factor, not otherwise classified | Hemophilia clot factor noc |
| J7200 | 0010 | 3 | Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu | Factor ix recombinan rixubis |
| J7201 | 0010 | 3 | Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. | Factor ix alprolix recomb |
| J7202 | 0010 | 3 | Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. | Factor ix idelvion inj |
| J7203 | 0010 | 3 | Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu | Factor ix recomb gly rebinyn |
| J7205 | 0010 | 3 | Injection, factor viii fc fusion protein (recombinant), per iu | Factor viii fc fusion recomb |
| J7207 | 0010 | 3 | Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. | Factor viii pegylated recomb |
| J7208 | 0010 | 3 | Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. | Inj. jivi 1 iu |
| J7209 | 0010 | 3 | Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. | Factor viii nuwiq recomb 1iu |
| J7210 | 0010 | 3 | Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. | Inj, afstyla, 1 i.u. |
| J7211 | 0010 | 3 | Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. | Inj, kovaltry, 1 i.u. |
| J7296 | 0010 | 3 | Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg | Kyleena, 19.5 mg |
| J7297 | 0010 | 3 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | Liletta, 52 mg |
| J7298 | 0010 | 3 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | Mirena, 52 mg |
| J7300 | 0010 | 3 | Intrauterine copper contraceptive | Intraut copper contraceptive |
| J7301 | 0010 | 3 | Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg | Skyla, 13.5 mg |
| J7302 | 0010 | 3 | Levonorgestrel-releasing intrauterine contraceptive system, 52 mg | Levonorgestrel iu 52 mg |
| J7303 | 0010 | 3 | Contraceptive supply, hormone containing vaginal ring, each | Contraceptive vaginal ring |
| J7304 | 0010 | 3 | Contraceptive supply, hormone containing patch, each | Contraceptive hormone patch |
| J7306 | 0010 | 3 | Levonorgestrel (contraceptive) implant system, including implants and supplies | Levonorgestrel implant sys |
| J7307 | 0010 | 3 | Etonogestrel (contraceptive) implant system, including implant and supplies | Etonogestrel implant system |
| J7308 | 0010 | 3 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | Aminolevulinic acid hcl top |
| J7309 | 0010 | 3 | Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram | Methyl aminolevulinate, top |
| J7310 | 0010 | 3 | Ganciclovir, 4.5 mg, long-acting implant | Ganciclovir long act implant |
| J7311 | 0010 | 3 | Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg | Inj., retisert, 0.01 mg |
| J7312 | 0010 | 3 | Injection, dexamethasone, intravitreal implant, 0.1 mg | Dexamethasone intra implant |
| J7313 | 0010 | 3 | Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg | Inj., iluvien, 0.01 mg |
| J7314 | 0010 | 3 | Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg | Inj., yutiq, 0.01 mg |
| J7315 | 0010 | 3 | Mitomycin, ophthalmic, 0.2 mg | Ophthalmic mitomycin |
| J7316 | 0010 | 3 | Injection, ocriplasmin, 0.125 mg | Inj, ocriplasmin, 0.125 mg |
| J7318 | 0010 | 3 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | Inj, durolane 1 mg |
| J7320 | 0010 | 3 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | Genvisc 850, inj, 1mg |
| J7321 | 0010 | 3 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | Hyalgan supartz visco-3 dose |
| J7322 | 0010 | 3 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | Hymovis injection 1 mg |
| J7323 | 0010 | 3 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | Euflexxa inj per dose |
| J7324 | 0010 | 3 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | Orthovisc inj per dose |
| J7325 | 0010 | 3 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | Synvisc or synvisc-one |
| J7326 | 0010 | 3 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | Gel-one |
| J7327 | 0010 | 3 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | Monovisc inj per dose |
| J7328 | 0010 | 3 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | Gelsyn-3 injection 0.1 mg |
| J7329 | 0010 | 3 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | Inj, trivisc 1 mg |
| J7330 | 0010 | 3 | Autologous cultured chondrocytes, implant | Cultured chondrocytes implnt |
| J7331 | 0010 | 3 | Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg | Synojoynt, inj., 1 mg |
| J7332 | 0010 | 3 | Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg | Inj., triluron, 1 mg |
| J7335 | 0010 | 3 | Capsaicin 8% patch, per 10 square centimeters | Capsaicin 8% patch |
| J7336 | 0010 | 3 | Capsaicin 8% patch, per square centimeter | Capsaicin 8% patch |
| J7340 | 0010 | 3 | Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml | Carbidopa levodopa ent 100ml |
| J7342 | 0010 | 3 | Instillation, ciprofloxacin otic suspension, 6 mg | Ciprofloxacin otic susp 6 mg |
| J7345 | 0010 | 3 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | Aminolevulinic acid, 10% gel |
| J7401 | 0010 | 3 | Mometasone furoate sinus implant, 10 micrograms | Mometasone furoate sinus imp |
| J7500 | 0010 | 3 | Azathioprine, oral, 50 mg | Azathioprine oral 50mg |
| J7501 | 0010 | 3 | Azathioprine, parenteral, 100 mg | Azathioprine parenteral |
| J7502 | 0010 | 3 | Cyclosporine, oral, 100 mg | Cyclosporine oral 100 mg |
| J7503 | 0010 | 3 | Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg | Tacrol envarsus ex rel oral |
| J7504 | 0010 | 3 | Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg | Lymphocyte immune globulin |
| J7505 | 0010 | 3 | Muromonab-cd3, parenteral, 5 mg | Monoclonal antibodies |
| J7506 | 0010 | 3 | Prednisone, oral, per 5 mg | Prednisone oral |
| J7507 | 0010 | 3 | Tacrolimus, immediate release, oral, 1 mg | Tacrolimus imme rel oral 1mg |
| J7508 | 0010 | 3 | Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg | Tacrol astagraf ex rel oral |
| J7509 | 0010 | 3 | Methylprednisolone oral, per 4 mg | Methylprednisolone oral |
| J7510 | 0010 | 3 | Prednisolone oral, per 5 mg | Prednisolone oral per 5 mg |
| J7511 | 0010 | 3 | Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg | Antithymocyte globuln rabbit |
| J7512 | 0010 | 3 | Prednisone, immediate release or delayed release, oral, 1 mg | Prednisone ir or dr oral 1mg |
| J7513 | 0010 | 3 | Daclizumab, parenteral, 25 mg | Daclizumab, parenteral |
| J7515 | 0010 | 3 | Cyclosporine, oral, 25 mg | Cyclosporine oral 25 mg |
| J7516 | 0010 | 3 | Cyclosporin, parenteral, 250 mg | Cyclosporin parenteral 250mg |
| J7517 | 0010 | 3 | Mycophenolate mofetil, oral, 250 mg | Mycophenolate mofetil oral |
| J7518 | 0010 | 3 | Mycophenolic acid, oral, 180 mg | Mycophenolic acid |
| J7520 | 0010 | 3 | Sirolimus, oral, 1 mg | Sirolimus, oral |
| J7525 | 0010 | 3 | Tacrolimus, parenteral, 5 mg | Tacrolimus injection |
| J7527 | 0010 | 3 | Everolimus, oral, 0.25 mg | Oral everolimus |
| J7599 | 0010 | 3 | Immunosuppressive drug, not otherwise classified | Immunosuppressive drug noc |
| J7604 | 0010 | 3 | Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram | Acetylcysteine comp unit |
| J7605 | 0010 | 3 | Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms | Arformoterol non-comp unit |
| J7606 | 0010 | 3 | Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms | Formoterol fumarate, inh |
| J7607 | 0010 | 3 | Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg | Levalbuterol comp con |
| J7608 | 0010 | 3 | Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram | Acetylcysteine non-comp unit |
| J7609 | 0010 | 3 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | Albuterol comp unit |
| J7610 | 0010 | 3 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | Albuterol comp con |
| J7611 | 0010 | 3 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | Albuterol non-comp con |
| J7612 | 0010 | 3 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg | Levalbuterol non-comp con |
| J7613 | 0010 | 3 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | Albuterol non-comp unit |
| J7614 | 0010 | 3 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | Levalbuterol non-comp unit |
| J7615 | 0010 | 3 | Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg | Levalbuterol comp unit |
| J7620 | 0010 | 3 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | Albuterol ipratrop non-comp |
| J7622 | 0010 | 3 | Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Beclomethasone comp unit |
| J7624 | 0010 | 3 | Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Betamethasone comp unit |
| J7626 | 0010 | 3 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | Budesonide non-comp unit |
| J7627 | 0010 | 3 | Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg | Budesonide comp unit |
| J7628 | 0010 | 3 | Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Bitolterol mesylate comp con |
| J7629 | 0010 | 3 | Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Bitolterol mesylate comp unt |
| J7631 | 0010 | 3 | Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams | Cromolyn sodium noncomp unit |
| J7632 | 0010 | 3 | Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams | Cromolyn sodium comp unit |
| J7633 | 0010 | 3 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram | Budesonide non-comp con |
| J7634 | 0010 | 3 | Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram | Budesonide comp con |
| J7635 | 0010 | 3 | Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Atropine comp con |
| J7636 | 0010 | 3 | Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Atropine comp unit |
| J7637 | 0010 | 3 | Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Dexamethasone comp con |
| J7638 | 0010 | 3 | Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Dexamethasone comp unit |
| J7639 | 0010 | 3 | Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | Dornase alfa non-comp unit |
| J7640 | 0010 | 3 | Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms | Formoterol comp unit |
| J7641 | 0010 | 3 | Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram | Flunisolide comp unit |
| J7642 | 0010 | 3 | Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Glycopyrrolate comp con |
| J7643 | 0010 | 3 | Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Glycopyrrolate comp unit |
| J7644 | 0010 | 3 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | Ipratropium bromide non-comp |
| J7645 | 0010 | 3 | Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Ipratropium bromide comp |
| J7647 | 0010 | 3 | Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Isoetharine comp con |
| J7648 | 0010 | 3 | Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram | Isoetharine non-comp con |
| J7649 | 0010 | 3 | Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | Isoetharine non-comp unit |
| J7650 | 0010 | 3 | Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Isoetharine comp unit |
| J7657 | 0010 | 3 | Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Isoproterenol comp con |
| J7658 | 0010 | 3 | Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram | Isoproterenol non-comp con |
| J7659 | 0010 | 3 | Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | Isoproterenol non-comp unit |
| J7660 | 0010 | 3 | Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Isoproterenol comp unit |
| J7665 | 0010 | 3 | Mannitol, administered through an inhaler, 5 mg | Mannitol for inhaler |
| J7667 | 0010 | 3 | Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams | Metaproterenol comp con |
| J7668 | 0010 | 3 | Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams | Metaproterenol non-comp con |
| J7669 | 0010 | 3 | Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams | Metaproterenol non-comp unit |
| J7670 | 0010 | 3 | Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams | Metaproterenol comp unit |
| J7674 | 0010 | 3 | Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg | Methacholine chloride, neb |
| J7676 | 0010 | 3 | Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg | Pentamidine comp unit dose |
| J7677 | 0010 | 3 | Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram | Revefenacin inh non-com 1mcg |
| J7680 | 0010 | 3 | Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Terbutaline sulf comp con |
| J7681 | 0010 | 3 | Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Terbutaline sulf comp unit |
| J7682 | 0010 | 3 | Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams | Tobramycin non-comp unit |
| J7683 | 0010 | 3 | Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | Triamcinolone comp con |
| J7684 | 0010 | 3 | Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram | Triamcinolone comp unit |
| J7685 | 0010 | 3 | Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams | Tobramycin comp unit |
| J7686 | 0010 | 3 | Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg | Treprostinil, non-comp unit |
| J7699 | 0010 | 3 | Noc drugs, inhalation solution administered through dme | Inhalation solution for dme |
| J7799 | 0010 | 3 | Noc drugs, other than inhalation drugs, administered through dme | Non-inhalation drug for dme |
| J7999 | 0010 | 3 | Compounded drug, not otherwise classified | Compounded drug, noc |
| J8498 | 0010 | 3 | Antiemetic drug, rectal/suppository, not otherwise specified | Antiemetic rectal/supp nos |
| J8499 | 0010 | 3 | Prescription drug, oral, non chemotherapeutic, nos | Oral prescrip drug non chemo |
| J8501 | 0010 | 3 | Aprepitant, oral, 5 mg | Oral aprepitant |
| J8510 | 0010 | 3 | Busulfan; oral, 2 mg | Oral busulfan |
| J8515 | 0010 | 3 | Cabergoline, oral, 0.25 mg | Cabergoline, oral 0.25mg |
| J8520 | 0010 | 3 | Capecitabine, oral, 150 mg | Capecitabine, oral, 150 mg |
| J8521 | 0010 | 3 | Capecitabine, oral, 500 mg | Capecitabine, oral, 500 mg |
| J8530 | 0010 | 3 | Cyclophosphamide; oral, 25 mg | Cyclophosphamide oral 25 mg |
| J8540 | 0010 | 3 | Dexamethasone, oral, 0.25 mg | Oral dexamethasone |
| J8560 | 0010 | 3 | Etoposide; oral, 50 mg | Etoposide oral 50 mg |
| J8562 | 0010 | 3 | Fludarabine phosphate, oral, 10 mg | Oral fludarabine phosphate |
| J8565 | 0010 | 3 | Gefitinib, oral, 250 mg | Gefitinib oral |
| J8597 | 0010 | 3 | Antiemetic drug, oral, not otherwise specified | Antiemetic drug oral nos |
| J8600 | 0010 | 3 | Melphalan; oral, 2 mg | Melphalan oral 2 mg |
| J8610 | 0010 | 3 | Methotrexate; oral, 2.5 mg | Methotrexate oral 2.5 mg |
| J8650 | 0010 | 3 | Nabilone, oral, 1 mg | Nabilone oral |
| J8655 | 0010 | 3 | Netupitant 300 mg and palonosetron 0.5 mg, oral | Oral netupitant, palonosetro |
| J8670 | 0010 | 3 | Rolapitant, oral, 1 mg | Rolapitant, oral, 1mg |
| J8700 | 0010 | 3 | Temozolomide, oral, 5 mg | Temozolomide |
| J8705 | 0010 | 3 | Topotecan, oral, 0.25 mg | Topotecan oral |
| J8999 | 0010 | 3 | Prescription drug, oral, chemotherapeutic, nos | Oral prescription drug chemo |
| J9000 | 0010 | 3 | Injection, doxorubicin hydrochloride, 10 mg | Doxorubicin hcl injection |
| J9010 | 0010 | 3 | Injection, alemtuzumab, 10 mg | Alemtuzumab injection |
| J9015 | 0010 | 3 | Injection, aldesleukin, per single use vial | Aldesleukin injection |
| J9017 | 0010 | 3 | Injection, arsenic trioxide, 1 mg | Arsenic trioxide injection |
| J9019 | 0010 | 3 | Injection, asparaginase (erwinaze), 1,000 iu | Erwinaze injection |
| J9020 | 0010 | 3 | Injection, asparaginase, not otherwise specified, 10,000 units | Asparaginase, nos |
| J9022 | 0010 | 3 | Injection, atezolizumab, 10 mg | Inj, atezolizumab,10 mg |
| J9023 | 0010 | 3 | Injection, avelumab, 10 mg | Injection, avelumab, 10 mg |
| J9025 | 0010 | 3 | Injection, azacitidine, 1 mg | Azacitidine injection |
| J9027 | 0010 | 3 | Injection, clofarabine, 1 mg | Clofarabine injection |
| J9030 | 0010 | 3 | Bcg live intravesical instillation, 1 mg | Bcg live intravesical 1mg |
| J9031 | 0010 | 3 | Bcg (intravesical) per instillation | Bcg live intravesical vac |
| J9032 | 0010 | 3 | Injection, belinostat, 10 mg | Injection, belinostat, 10mg |
| J9033 | 0010 | 3 | Injection, bendamustine hcl (treanda), 1 mg | Inj., treanda 1 mg |
| J9034 | 0010 | 3 | Injection, bendamustine hcl (bendeka), 1 mg | Inj., bendeka 1 mg |
| J9035 | 0010 | 3 | Injection, bevacizumab, 10 mg | Bevacizumab injection |
| J9036 | 0010 | 3 | Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg | Inj. belrapzo/bendamustine |
| J9039 | 0010 | 3 | Injection, blinatumomab, 1 microgram | Injection, blinatumomab |
| J9040 | 0010 | 3 | Injection, bleomycin sulfate, 15 units | Bleomycin sulfate injection |
| J9041 | 0010 | 3 | Injection, bortezomib (velcade), 0.1 mg | Inj., velcade 0.1 mg |
| J9042 | 0010 | 3 | Injection, brentuximab vedotin, 1 mg | Brentuximab vedotin inj |
| J9043 | 0010 | 3 | Injection, cabazitaxel, 1 mg | Cabazitaxel injection |
| J9044 | 0010 | 3 | Injection, bortezomib, not otherwise specified, 0.1 mg | Inj, bortezomib, nos, 0.1 mg |
| J9045 | 0010 | 3 | Injection, carboplatin, 50 mg | Carboplatin injection |
| J9047 | 0010 | 3 | Injection, carfilzomib, 1 mg | Injection, carfilzomib, 1 mg |
| J9050 | 0010 | 3 | Injection, carmustine, 100 mg | Carmustine injection |
| J9055 | 0010 | 3 | Injection, cetuximab, 10 mg | Cetuximab injection |
| J9057 | 0010 | 3 | Injection, copanlisib, 1 mg | Inj., copanlisib, 1 mg |
| J9060 | 0010 | 3 | Injection, cisplatin, powder or solution, 10 mg | Cisplatin 10 mg injection |
| J9065 | 0010 | 3 | Injection, cladribine, per 1 mg | Inj cladribine per 1 mg |
| J9070 | 0010 | 3 | Cyclophosphamide, 100 mg | Cyclophosphamide 100 mg inj |
| J9098 | 0010 | 3 | Injection, cytarabine liposome, 10 mg | Cytarabine liposome inj |
| J9100 | 0010 | 3 | Injection, cytarabine, 100 mg | Cytarabine hcl 100 mg inj |
| J9118 | 0010 | 3 | Injection, calaspargase pegol-mknl, 10 units | Inj. calaspargase pegol-mknl |
| J9119 | 0010 | 3 | Injection, cemiplimab-rwlc, 1 mg | Inj., cemiplimab-rwlc, 1 mg |
| J9120 | 0010 | 3 | Injection, dactinomycin, 0.5 mg | Dactinomycin injection |
| J9130 | 0010 | 3 | Dacarbazine, 100 mg | Dacarbazine 100 mg inj |
| J9145 | 0010 | 3 | Injection, daratumumab, 10 mg | Injection, daratumumab 10 mg |
| J9150 | 0010 | 3 | Injection, daunorubicin, 10 mg | Daunorubicin injection |
| J9151 | 0010 | 3 | Injection, daunorubicin citrate, liposomal formulation, 10 mg | Daunorubicin citrate inj |
| J9153 | 0010 | 3 | Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine | Inj daunorubicin, cytarabine |
| J9155 | 0010 | 3 | Injection, degarelix, 1 mg | Degarelix injection |
| J9160 | 0010 | 3 | Injection, denileukin diftitox, 300 micrograms | Denileukin diftitox inj |
| J9165 | 0010 | 3 | Injection, diethylstilbestrol diphosphate, 250 mg | Diethylstilbestrol injection |
| J9171 | 0010 | 3 | Injection, docetaxel, 1 mg | Docetaxel injection |
| J9173 | 0010 | 3 | Injection, durvalumab, 10 mg | Inj., durvalumab, 10 mg |
| J9175 | 0010 | 3 | Injection, elliotts’ b solution, 1 ml | Elliotts b solution per ml |
| J9176 | 0010 | 3 | Injection, elotuzumab, 1 mg | Injection, elotuzumab, 1mg |
| J9178 | 0010 | 3 | Injection, epirubicin hcl, 2 mg | Inj, epirubicin hcl, 2 mg |
| J9179 | 0010 | 3 | Injection, eribulin mesylate, 0.1 mg | Eribulin mesylate injection |
| J9181 | 0010 | 3 | Injection, etoposide, 10 mg | Etoposide injection |
| J9185 | 0010 | 3 | Injection, fludarabine phosphate, 50 mg | Fludarabine phosphate inj |
| J9190 | 0010 | 3 | Injection, fluorouracil, 500 mg | Fluorouracil injection |
| J9199 | 0010 | 3 | Injection, gemcitabine hydrochloride (infugem), 200 mg | Injection, infugem, 200 mg |
| J9200 | 0010 | 3 | Injection, floxuridine, 500 mg | Floxuridine injection |
| J9201 | 0010 | 3 | Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | In gemcitabine hcl nos 200mg |
| J9202 | 0010 | 3 | Goserelin acetate implant, per 3.6 mg | Goserelin acetate implant |
| J9203 | 0010 | 3 | Injection, gemtuzumab ozogamicin, 0.1 mg | Gemtuzumab ozogamicin 0.1 mg |
| J9204 | 0010 | 3 | Injection, mogamulizumab-kpkc, 1 mg | Inj mogamulizumab-kpkc, 1 mg |
| J9205 | 0010 | 3 | Injection, irinotecan liposome, 1 mg | Inj irinotecan liposome 1 mg |
| J9206 | 0010 | 3 | Injection, irinotecan, 20 mg | Irinotecan injection |
| J9207 | 0010 | 3 | Injection, ixabepilone, 1 mg | Ixabepilone injection |
| J9208 | 0010 | 3 | Injection, ifosfamide, 1 gram | Ifosfamide injection |
| J9209 | 0010 | 3 | Injection, mesna, 200 mg | Mesna injection |
| J9210 | 0010 | 3 | Injection, emapalumab-lzsg, 1 mg | Inj., emapalumab-lzsg, 1 mg |
| J9211 | 0010 | 3 | Injection, idarubicin hydrochloride, 5 mg | Idarubicin hcl injection |
| J9212 | 0010 | 3 | Injection, interferon alfacon-1, recombinant, 1 microgram | Interferon alfacon-1 inj |
| J9213 | 0010 | 3 | Injection, interferon, alfa-2a, recombinant, 3 million units | Interferon alfa-2a inj |
| J9214 | 0010 | 3 | Injection, interferon, alfa-2b, recombinant, 1 million units | Interferon alfa-2b inj |
| J9215 | 0010 | 3 | Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu | Interferon alfa-n3 inj |
| J9216 | 0010 | 3 | Injection, interferon, gamma 1-b, 3 million units | Interferon gamma 1-b inj |
| J9217 | 0010 | 3 | Leuprolide acetate (for depot suspension), 7.5 mg | Leuprolide acetate suspnsion |
| J9218 | 0010 | 3 | Leuprolide acetate, per 1 mg | Leuprolide acetate injeciton |
| J9219 | 0010 | 3 | Leuprolide acetate implant, 65 mg | Leuprolide acetate implant |
| J9225 | 0010 | 3 | Histrelin implant (vantas), 50 mg | Vantas implant |
| J9226 | 0010 | 3 | Histrelin implant (supprelin la), 50 mg | Supprelin la implant |
| J9228 | 0010 | 3 | Injection, ipilimumab, 1 mg | Ipilimumab injection |
| J9229 | 0010 | 3 | Injection, inotuzumab ozogamicin, 0.1 mg | Inj inotuzumab ozogam 0.1 mg |
| J9230 | 0010 | 3 | Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg | Mechlorethamine hcl inj |
| J9245 | 0010 | 3 | Injection, melphalan hydrochloride, 50 mg | Inj melphalan hydrochl 50 mg |
| J9250 | 0010 | 3 | Methotrexate sodium, 5 mg | Methotrexate sodium inj |
| J9260 | 0010 | 3 | Methotrexate sodium, 50 mg | Methotrexate sodium inj |
| J9261 | 0010 | 3 | Injection, nelarabine, 50 mg | Nelarabine injection |
| J9262 | 0010 | 3 | Injection, omacetaxine mepesuccinate, 0.01 mg | Inj, omacetaxine mep, 0.01mg |
| J9263 | 0010 | 3 | Injection, oxaliplatin, 0.5 mg | Oxaliplatin |
| J9264 | 0010 | 3 | Injection, paclitaxel protein-bound particles, 1 mg | Paclitaxel protein bound |
| J9265 | 0010 | 3 | Injection, paclitaxel, 30 mg | Paclitaxel injection |
| J9266 | 0010 | 3 | Injection, pegaspargase, per single dose vial | Pegaspargase injection |
| J9267 | 0010 | 3 | Injection, paclitaxel, 1 mg | Paclitaxel injection |
| J9268 | 0010 | 3 | Injection, pentostatin, 10 mg | Pentostatin injection |
| J9269 | 0010 | 3 | Injection, tagraxofusp-erzs, 10 micrograms | Inj. tagraxofusp-erzs 10 mcg |
| J9270 | 0010 | 3 | Injection, plicamycin, 2.5 mg | Plicamycin (mithramycin) inj |
| J9271 | 0010 | 3 | Injection, pembrolizumab, 1 mg | Inj pembrolizumab |
| J9280 | 0010 | 3 | Injection, mitomycin, 5 mg | Mitomycin injection |
| J9285 | 0010 | 3 | Injection, olaratumab, 10 mg | Inj, olaratumab, 10 mg |
| J9293 | 0010 | 3 | Injection, mitoxantrone hydrochloride, per 5 mg | Mitoxantrone hydrochl / 5 mg |
| J9295 | 0010 | 3 | Injection, necitumumab, 1 mg | Injection, necitumumab, 1 mg |
| J9299 | 0010 | 3 | Injection, nivolumab, 1 mg | Injection, nivolumab |
| J9300 | 0010 | 3 | Injection, gemtuzumab ozogamicin, 5 mg | Gemtuzumab ozogamicin inj |
| J9301 | 0010 | 3 | Injection, obinutuzumab, 10 mg | Obinutuzumab inj |
| J9302 | 0010 | 3 | Injection, ofatumumab, 10 mg | Ofatumumab injection |
| J9303 | 0010 | 3 | Injection, panitumumab, 10 mg | Panitumumab injection |
| J9305 | 0010 | 3 | Injection, pemetrexed, 10 mg | Pemetrexed injection |
| J9306 | 0010 | 3 | Injection, pertuzumab, 1 mg | Injection, pertuzumab, 1 mg |
| J9307 | 0010 | 3 | Injection, pralatrexate, 1 mg | Pralatrexate injection |
| J9308 | 0010 | 3 | Injection, ramucirumab, 5 mg | Injection, ramucirumab |
| J9309 | 0010 | 3 | Injection, polatuzumab vedotin-piiq, 1 mg | Inj, polatuzumab vedotin 1mg |
| J9310 | 0010 | 3 | Injection, rituximab, 100 mg | Rituximab injection |
| J9311 | 0010 | 3 | Injection, rituximab 10 mg and hyaluronidase | Inj rituximab, hyaluronidase |
| J9312 | 0010 | 3 | Injection, rituximab, 10 mg | Inj., rituximab, 10 mg |
| J9313 | 0010 | 3 | Injection, moxetumomab pasudotox-tdfk, 0.01 mg | Inj., lumoxiti, 0.01 mg |
| J9315 | 0010 | 3 | Injection, romidepsin, 1 mg | Romidepsin injection |
| J9320 | 0010 | 3 | Injection, streptozocin, 1 gram | Streptozocin injection |
| J9325 | 0010 | 3 | Injection, talimogene laherparepvec, per 1 million plaque forming units | Inj talimogene laherparepvec |
| J9328 | 0010 | 3 | Injection, temozolomide, 1 mg | Temozolomide injection |
| J9330 | 0010 | 3 | Injection, temsirolimus, 1 mg | Temsirolimus injection |
| J9340 | 0010 | 3 | Injection, thiotepa, 15 mg | Thiotepa injection |
| J9351 | 0010 | 3 | Injection, topotecan, 0.1 mg | Topotecan injection |
| J9352 | 0010 | 3 | Injection, trabectedin, 0.1 mg | Injection trabectedin 0.1mg |
| J9354 | 0010 | 3 | Injection, ado-trastuzumab emtansine, 1 mg | Inj, ado-trastuzumab emt 1mg |
| J9355 | 0010 | 3 | Injection, trastuzumab, excludes biosimilar, 10 mg | Inj trastuzumab excl biosimi |
| J9356 | 0010 | 3 | Injection, trastuzumab, 10 mg and hyaluronidase-oysk | Inj. herceptin hylecta, 10mg |
| J9357 | 0010 | 3 | Injection, valrubicin, intravesical, 200 mg | Valrubicin injection |
| J9360 | 0010 | 3 | Injection, vinblastine sulfate, 1 mg | Vinblastine sulfate inj |
| J9370 | 0010 | 3 | Vincristine sulfate, 1 mg | Vincristine sulfate 1 mg inj |
| J9371 | 0010 | 3 | Injection, vincristine sulfate liposome, 1 mg | Inj, vincristine sul lip 1mg |
| J9390 | 0010 | 3 | Injection, vinorelbine tartrate, 10 mg | Vinorelbine tartrate inj |
| J9395 | 0010 | 3 | Injection, fulvestrant, 25 mg | Injection, fulvestrant |
| J9400 | 0010 | 3 | Injection, ziv-aflibercept, 1 mg | Inj, ziv-aflibercept, 1mg |
| J9600 | 0010 | 3 | Injection, porfimer sodium, 75 mg | Porfimer sodium injection |
| J9999 | 0010 | 3 | Not otherwise classified, antineoplastic drugs | Chemotherapy drug |
