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HCPCS J1190

Injection, dexrazoxane hydrochloride, per 250 mg

Table of Contents

  1. HCPCS Information
  2. HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J1190
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J1190 identifies the type of service or supply used while any of the 15 NDC codes below could be used to specify the exact drug used.
Short Description
Dexrazoxane hcl injection
Long Description
Injection, dexrazoxane hydrochloride, per 250 mg
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Other drugs
Medicare Payment Limit
$32.09
Medicare Co-Insurance Percentage
20.000%
HCPCS Classification
List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0143-9247Dexrazoxane DexrazoxaneInjection, Powder, Lyophilized, For SolutionIntravenousHikma Pharmaceuticals Usa Inc.ACTIVE
0143-9248Dexrazoxane DexrazoxaneInjection, Powder, Lyophilized, For SolutionIntravenousHikma Pharmaceuticals Usa Inc.ACTIVE
47781-578Dexrazoxane Alvogen Inc.
51991-942Dexrazoxane Breckenridge Pharmaceutical, Inc.
55150-434Dexrazoxane DexrazoxaneKitAuromedics Pharma LlcACTIVE
55150-434Dexrazoxane DexrazoxaneKitEugia Us LlcACTIVE
55150-437Dexrazoxane DexrazoxaneKitEugia Us LlcACTIVE
66220-110Totect Cumberland Pharmaceuticals Inc.
72205-247Dexrazoxane DexrazoxaneInjection, Powder, Lyophilized, For SolutionIntravenousNovadoz Pharmaceuticals LlcACTIVE
72205-248Dexrazoxane DexrazoxaneInjection, Powder, Lyophilized, For SolutionIntravenousNovadoz Pharmaceuticals LlcACTIVE
72266-101Dexrazoxane Dexrazoxane For InjectionInjection, Powder, Lyophilized, For SolutionIntravenousFosun Pharma Usa Inc.ACTIVE
72266-235Dexrazoxane Dexrazoxane For InjectionInjection, Powder, Lyophilized, For SolutionIntravenousFosun Pharma Usa Inc.ACTIVE
72611-716Dexrazoxane Dexrazoxane For InjectionInjection, Powder, Lyophilized, For SolutionIntravenousAlmaject, Inc.ACTIVE
72611-716Dexrazoxane Dexrazoxane For InjectionInjection, Powder, Lyophilized, For SolutionIntravenousAlmaject, Inc.ACTIVE
76310-110Totect Clinigen Limited