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HCPCS Procedure & Supply Codes

Private Payer Codes

section notes

Drugs Administered

section notes
S0014 Tacrine hydrochloride, 10 mg
S0017S0166   Injections
S0088 Imatinib 100 mg
S0090 Sildenafil citrate, 25 mg
S0091 Granisetron 1mg
S0104 Zidovudine, oral, 100 mg
S0106 Bupropion hcl sr 60 tablets
S0108 Mercaptopurine 50 mg
S0109 Methadone oral 5mg
S0117 Tretinoin topical 5 g
S0119 Ondansetron 4 mg
S0136 Clozapine, 25 mg
S0137 Didanosine, 25 mg
S0138 Finasteride, 5 mg
S0139 Minoxidil, 10 mg
S0140 Saquinavir, 200 mg
S0142 Colistimethate inh sol mg
S0155 Epoprostenol dilutant
S0156 Exemestane, 25 mg
S0157 Becaplermin gel 1%, 0.5 gm
S0160 Dextroamphetamine
S0169 Calcitrol
S0170 Anastrozole 1 mg
S0171 Bumetanide 0.5 mg
S0172 Chlorambucil 2 mg
S0174 Dolasetron 50 mg
S0175 Flutamide 125 mg
S0176 Hydroxyurea 500 mg
S0177 Levamisole 50 mg
S0178 Lomustine 10 mg
S0179 Megestrol 20 mg
S0182 Procarbazine, oral
S0183 Prochlorperazine 5 mg
S0187 Tamoxifen 10 mg
S0189 Testosterone pellet 75 mg
S0190 Mifepristone, oral, 200 mg
S0191 Misoprostol, oral, 200 mcg
S0194 Vitamin suppl 100 caps
S0197 Prenatal vitamins 30 day
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