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HCPCS Q0164

Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

Table of Contents

  1. HCPCS Information
  2. HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: Q0164
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 Q0164 identifies the type of service or supply used while any of the 45 NDC codes below could be used to specify the exact drug used.
Short Description
Prochlorperazine maleate 5mg
Long Description
Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Chemotherapy
HCPCS Classification
List of HCPCS codes for: Temporary Codes (Q-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
0378-5105Prochlorperazine Maleate Mylan Pharmaceuticals Inc.
0378-5110Prochlorperazine Maleate Mylan Pharmaceuticals Inc.
0781-5020Prochlorperazine Maleate Sandoz Inc
0781-5021Prochlorperazine Maleate Sandoz Inc
0904-7381Prochlorperazine Maleate Prochlorperazine MaleateTabletOralMajor PharmaceuticalsACTIVE
0904-7382Prochlorperazine Maleate Prochlorperazine MaleateTabletOralMajor PharmaceuticalsACTIVE
27241-286Prochlorperazine Maleate Prochlorperazine MaleateTabletOralAjanta Pharma Usa Inc.ACTIVE
27241-287Prochlorperazine Maleate Prochlorperazine MaleateTabletOralAjanta Pharma Usa Inc.ACTIVE
38779-0180 Prochlorperazine MaleatePowderMedisca Inc.ACTIVE
42291-728Prochlorperazine Maleate Avkare
42291-729Prochlorperazine Maleate Avkare
43063-742Prochlorperazine Maleate Prochlorperazine MaleateTabletOralPd-rx Pharmaceuticals, Inc.ACTIVE
50268-684Prochlorperazine Maleate Prochlorperazine MaleateTabletOralAvpakACTIVE
50268-685Prochlorperazine Maleate Prochlorperazine MaleateTabletOralAvpakACTIVE
51079-541Prochlorperazine Maleate Mylan Institutional Inc.
51079-542Prochlorperazine Maleate Mylan Institutional Inc.
54569-0350Prochlorperazine Maleate A-s Medication Solutions LlcINACTIVATED
54569-0355Prochlorperazine Maleate A-s Medication Solutions LlcINACTIVATED
54868-1082Prochlorperazine Maleate Physicians Total Care, Inc.INACTIVATED
54868-4721Prochlorperazine Maleate Physicians Total Care, Inc.INACTIVATED
55289-224Prochlorperazine Maleate Pd-rx Pharmaceuticals, Inc.
55289-568Prochlorperazine Maleate Pd-rx Pharmaceuticals, Inc.
59746-113Prochlorperazine Maleate Prochlorperazine MaleateTabletOralJubilant Cadista Pharmacuticals Inc.ACTIVE
59746-115Prochlorperazine Maleate Prochlorperazine MaleateTabletOralJubilant Cadista Pharmacuticals Inc.ACTIVE
60219-2038Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralAmneal Pharmaceuticals Ny LlcACTIVE
60219-2039Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralAmneal Pharmaceuticals Ny LlcACTIVE
62135-673Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralChartwell Rx, LlcACTIVE
62135-674Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralChartwell Rx, LlcACTIVE
63629-1335Prochlorperazine Maleate Bryant Ranch Prepack
63629-1841Prochlorperazine Maleate Bryant Ranch Prepack
68462-889Prochlorperazine Maleate Prochlorperazine MaleateTabletOralGlenmark Pharmaceuticals Inc., UsaACTIVE
68462-890Prochlorperazine Maleate Prochlorperazine MaleateTabletOralGlenmark Pharmaceuticals Inc., UsaACTIVE
68462-947Prochlorperazine Maleate Prochlorperazine MaleateTabletOralGlenmark Pharmaceuticals Inc., UsaACTIVE
69315-265Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralLeading Pharma, LlcACTIVE
69315-266Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralLeading Pharma, LlcACTIVE
69452-309Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralBionpharma Inc.ACTIVE
69452-310Prochlorperazine Maleate Prochlorperazine MaleateTablet, Film CoatedOralBionpharma Inc.ACTIVE
69452-471Prochlorperazine Maleate Prochlorperazine MaleateTabletOralBionpharma Inc.ACTIVE
69452-472Prochlorperazine Maleate Prochlorperazine MaleateTabletOralBionpharma Inc.ACTIVE
70710-1667Prochlorperazine Maleate Prochlorperazine MaleateTabletOralZydus Pharmaceuticals (usa) Inc.ACTIVE
70710-1668Prochlorperazine Maleate Prochlorperazine MaleateTabletOralZydus Pharmaceuticals (usa) Inc.ACTIVE
70954-688Prochlorperazine Maleate Prochlorperazine MaleateTabletOralAni Pharmaceuticals, Inc.ACTIVE
70954-689Prochlorperazine Maleate Prochlorperazine MaleateTabletOralAni Pharmaceuticals, Inc.ACTIVE
72603-168Prochlorperazine Maleate Northstar Rx Llc
72603-169Prochlorperazine Maleate Prochlorperazine MaleateTabletOralNorthstar Rx LlcACTIVE