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HCPCS Codes
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Drugs Administered Other Than Oral Method, Chemotherapy Drugs
HCPCS Code: J3
Short Description: Cap drug unavail thru cap
Long Description: Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
HCPCS Code: J3000
Short Description: Streptomycin injection
Long Description: Injection, streptomycin, up to 1 gm
HCPCS Code: J3010
Short Description: Fentanyl citrate injection
Long Description: Injection, fentanyl citrate, 0.1 mg
HCPCS Code: J3030
Short Description: Sumatriptan succinate / 6 mg
Long Description: 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)
HCPCS Code: J3060
Short Description: Inj, taliglucerase alfa 10 u
Long Description: Injection, taliglucerase alfa, 10 units
HCPCS Code: J3070
Short Description: Pentazocine injection
Long Description: Injection, pentazocine, 30 mg
HCPCS Code: J3090
Short Description: Inj tedizolid phosphate
Long Description: Injection, tedizolid phosphate, 1 mg
HCPCS Code: J3095
Short Description: Telavancin injection
Long Description: Injection, telavancin, 10 mg
HCPCS Code: J3101
Short Description: Tenecteplase injection
Long Description: Injection, tenecteplase, 1 mg
HCPCS Code: J3105
Short Description: Terbutaline sulfate inj
Long Description: Injection, terbutaline sulfate, up to 1 mg
HCPCS Code: J3110
Short Description: Teriparatide injection
Long Description: Injection, teriparatide, 10 mcg
HCPCS Code: J3120
Short Description: Testosterone enanthate inj
Long Description: Injection, testosterone enanthate, up to 100 mg
HCPCS Code: J3121
Short Description: Inj testostero enanthate 1mg
Long Description: Injection, testosterone enanthate, 1 mg
HCPCS Code: J3130
Short Description: Testosterone enanthate inj
Long Description: Injection, testosterone enanthate, up to 200 mg
HCPCS Code: J3140
Short Description: Testosterone suspension inj
Long Description: Injection, testosterone suspension, up to 50 mg
HCPCS Code: J3145
Short Description: Testosterone undecanoate 1mg
Long Description: Injection, testosterone undecanoate, 1 mg
HCPCS Code: J3150
Short Description: Testosteron propionate inj
Long Description: Injection, testosterone propionate, up to 100 mg
HCPCS Code: J3230
Short Description: Chlorpromazine hcl injection
Long Description: Injection, chlorpromazine hcl, up to 50 mg
HCPCS Code: J3240
Short Description: Thyrotropin injection
Long Description: Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
HCPCS Code: J3243
Short Description: Tigecycline injection
Long Description: Injection, tigecycline, 1 mg
HCPCS Code: J3246
Short Description: Tirofiban hcl
Long Description: Injection, tirofiban hcl, 0.25 mg
HCPCS Code: J3250
Short Description: Trimethobenzamide hcl inj
Long Description: Injection, trimethobenzamide hcl, up to 200 mg
HCPCS Code: J3260
Short Description: Tobramycin sulfate injection
Long Description: Injection, tobramycin sulfate, up to 80 mg
HCPCS Code: J3262
Short Description: Tocilizumab injection
Long Description: Injection, tocilizumab, 1 mg
HCPCS Code: J3265
Short Description: Injection torsemide 10 mg/ml
Long Description: Injection, torsemide, 10 mg/ml
HCPCS Code: J3280
Short Description: Thiethylperazine maleate inj
Long Description: Injection, thiethylperazine maleate, up to 10 mg
HCPCS Code: J3285
Short Description: Treprostinil injection
Long Description: Injection, treprostinil, 1 mg
HCPCS Code: J3300
Short Description: Triamcinolone a inj prs-free
Long Description: Injection, triamcinolone acetonide, preservative free, 1 mg
HCPCS Code: J3301
Short Description: Triamcinolone acet inj nos
Long Description: Injection, triamcinolone acetonide, not otherwise specified, 10 mg
HCPCS Code: J3302
Short Description: Triamcinolone diacetate inj
Long Description: Injection, triamcinolone diacetate, per 5 mg
HCPCS Code: J3303
Short Description: Triamcinolone hexacetonl inj
Long Description: Injection, triamcinolone hexacetonide, per 5 mg
HCPCS Code: J3305
Short Description: Inj trimetrexate glucoronate
Long Description: Injection, trimetrexate glucuronate, per 25 mg
HCPCS Code: J3310
Short Description: Perphenazine injeciton
Long Description: Injection, perphenazine, up to 5 mg
HCPCS Code: J3315
Short Description: Triptorelin pamoate
Long Description: Injection, triptorelin pamoate, 3.75 mg
HCPCS Code: J3320
Short Description: Spectinomycn di-hcl inj
Long Description: Injection, spectinomycin dihydrochloride, up to 2 gm
HCPCS Code: J3350
Short Description: Urea injection
Long Description: Injection, urea, up to 40 gm
HCPCS Code: J3355
Short Description: Urofollitropin, 75 iu
Long Description: Injection, urofollitropin, 75 iu
HCPCS Code: J3357
Short Description: Ustekinumab sub cu inj, 1 mg
Long Description: Ustekinumab, for subcutaneous injection, 1 mg
HCPCS Code: J3358
Short Description: Ustekinumab, iv inject, 1 mg
Long Description: Ustekinumab, for intravenous injection, 1 mg
HCPCS Code: J3360
Short Description: Diazepam injection
Long Description: Injection, diazepam, up to 5 mg
HCPCS Code: J3364
Short Description: Urokinase 5000 iu injection
Long Description: Injection, urokinase, 5000 iu vial
HCPCS Code: J3365
Short Description: Urokinase 250,000 iu inj
Long Description: Injection, iv, urokinase, 250,000 i.u. vial
HCPCS Code: J3370
Short Description: Vancomycin hcl injection
Long Description: Injection, vancomycin hcl, 500 mg
HCPCS Code: J3380
Short Description: Injection, vedolizumab
Long Description: Injection, vedolizumab, 1 mg
HCPCS Code: J3385
Short Description: Velaglucerase alfa
Long Description: Injection, velaglucerase alfa, 100 units
HCPCS Code: J3396
Short Description: Verteporfin injection
Long Description: Injection, verteporfin, 0.1 mg
HCPCS Code: J3400
Short Description: Triflupromazine hcl inj
Long Description: Injection, triflupromazine hcl, up to 20 mg
HCPCS Code: J3410
Short Description: Hydroxyzine hcl injection
Long Description: Injection, hydroxyzine hcl, up to 25 mg
HCPCS Code: J3411
Short Description: Thiamine hcl 100 mg
Long Description: Injection, thiamine hcl, 100 mg
HCPCS Code: J3415
Short Description: Pyridoxine hcl 100 mg
Long Description: Injection, pyridoxine hcl, 100 mg
HCPCS Code: J3420
Short Description: Vitamin b12 injection
Long Description: Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
HCPCS Code: J3430
Short Description: Vitamin k phytonadione inj
Long Description: Injection, phytonadione (vitamin k), per 1 mg
HCPCS Code: J3465
Short Description: Injection, voriconazole
Long Description: Injection, voriconazole, 10 mg
HCPCS Code: J3470
Short Description: Hyaluronidase injection
Long Description: Injection, hyaluronidase, up to 150 units
HCPCS Code: J3471
Short Description: Ovine, up to 999 usp units
Long Description: Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)
HCPCS Code: J3472
Short Description: Ovine, 1000 usp units
Long Description: Injection, hyaluronidase, ovine, preservative free, per 1000 usp units
HCPCS Code: J3473
Short Description: Hyaluronidase recombinant
Long Description: Injection, hyaluronidase, recombinant, 1 usp unit
HCPCS Code: J3475
Short Description: Inj magnesium sulfate
Long Description: Injection, magnesium sulfate, per 500 mg
HCPCS Code: J3480
Short Description: Inj potassium chloride
Long Description: Injection, potassium chloride, per 2 meq
HCPCS Code: J3485
Short Description: Zidovudine
Long Description: Injection, zidovudine, 10 mg
HCPCS Code: J3486
Short Description: Ziprasidone mesylate
Long Description: Injection, ziprasidone mesylate, 10 mg
HCPCS Code: J3489
Short Description: Zoledronic acid 1mg
Long Description: Injection, zoledronic acid, 1 mg
HCPCS Code: J3490
Short Description: Drugs unclassified injection
Long Description: Unclassified drugs
HCPCS Code: J3520
Short Description: Edetate disodium per 150 mg
Long Description: Edetate disodium, per 150 mg
HCPCS Code: J3530
Short Description: Nasal vaccine inhalation
Long Description: Nasal vaccine inhalation
HCPCS Code: J3535
Short Description: Metered dose inhaler drug
Long Description: Drug administered through a metered dose inhaler
HCPCS Code: J3570
Short Description: Laetrile amygdalin vit b17
Long Description: Laetrile, amygdalin, vitamin b17
HCPCS Code: J3590
Short Description: Unclassified biologics
Long Description: Unclassified biologics