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HCPCS Q0169

Promethazine hydrochloride, 12.5 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: Q0169
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 Q0169 identifies the type of service or supply used while any of the 40 NDC codes below could be used to specify the exact drug used.
Short Description
Promethazine hcl 12.5mg oral
Long Description
Promethazine hydrochloride, 12.5 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
0116-4023Promethazine Hydrochloride Promethazine HydrochlorideSyrupOralXttrium Laboratories, Inc.ACTIVE
0121-0927Promethazine Hydrochloride Pai Holdings, Llc Dba Pai Pharma
0591-5307Promethazine Hydrochloride Promethazine HydrochlorideTabletOralActavis Pharma, Inc.ACTIVE
0591-5307 Promethazine HydrochlorideTabletActavis Pharma, Inc.ACTIVE
0591-5319Promethazine Hydrochloride Promethazine HydrochlorideTabletOralActavis Pharma, Inc.ACTIVE
0591-5319 Promethazine HydrochlorideTabletActavis Pharma, Inc.ACTIVE
0781-1830Promethazine Hydrochloride Sandoz Inc
0781-1832Promethazine Hydrochloride Sandoz Inc
0904-7304Promethazine Hydrochloride Promethazine HydrochlorideTabletOralMajor PharmaceuticalsACTIVE
10702-002Promethazine Hydrochloride Promethazine HydrochlorideTabletOralKvk-tech, Inc.ACTIVE
10702-003Promethazine Hydrochloride Promethazine HydrochlorideTabletOralKvk-tech, Inc.ACTIVE
10702-004Promethazine Hydrochloride Promethazine HydrochlorideTabletOralKvk-tech, Inc.ACTIVE
27808-051Promethazine Hydrochloride Promethazine HydrochlorideSyrupOralCranbury Pharmaceuticals, LlcACTIVE
29033-500Promethazine Hydrochloride Promethazine HydrochlorideSolutionOralNostrum Laboratories, Inc.ACTIVE
43063-874Promethazine Hydrochloride Promethazine HydrochlorideTabletOralPd-rx Pharmaceuticals, Inc.ACTIVE
43063-876Promethazine Hydrochloride Promethazine HydrochlorideTabletOralPd-rx Pharmaceuticals, Inc.ACTIVE
49999-090Promethazine Hydrochloride Lake Erie Medical Dba Quality Care Products Llc
50383-801Promethazine Hydrochloride AkornINACTIVATED
53746-521Promethazine Hydrochloride Promethazine HydrochlorideTabletOralAmneal Pharmaceuticals Of New York LlcACTIVE
53746-745Promethazine Hydrochloride Promethazine HydrochlorideTabletOralAmneal Pharmaceuticals Of New York LlcACTIVE
54569-1046Promethazine Hydrochloride A-s Medication Solutions LlcINACTIVATED
54569-1754Promethazine Hydrochloride A-s Medication SolutionsINACTIVATED
54569-4168Promethazine Hydrochloride A-s Medication SolutionsINACTIVATED
54569-4168Promethazine Hydrochloride A-s Medication Solutions LlcINACTIVATED
54868-1323Promethazine Hydrochloride Physicians Total Care, Inc.INACTIVATED
54868-1867Promethazine Hydrochloride Physicians Total Care, Inc.INACTIVATED
54868-2844Promethazine Hydrochloride Physicians Total Care, Inc.INACTIVATED
60432-608Promethazine Hydrochloride Morton Grove Pharmaceuticals, Inc.INACTIVATED
60760-830Promethazine Hydrochloride St. Mary's Medical Park Pharmacy
62135-774Promethazine Hydrochloride Chartwell Rx, LlcINACTIVATED
63629-1591Promethazine Hydrochloride Promethazine HydrochlorideTabletOralBryant Ranch PrepackACTIVE
63629-1742Promethazine Hydrochloride Bryant Ranch Prepack
63629-1870Promethazine Hydrochloride Bryant Ranch Prepack
63739-213Promethazine Hydrochloride Mckesson Corporation Dba Sky Packaging
65162-678Promethazine Hydrochloride PromethazineSolutionOralAmneal Pharmaceuticals LlcACTIVE
68001-162Promethazine Hydrochloride Promethazine HydrochlorideTabletOralBluepoint LaboratoriesACTIVE
68382-040Promethazine Hydrochloride Promethazine HydrochlorideTabletOralZydus Pharmaceuticals Usa Inc.ACTIVE
68382-041Promethazine Hydrochloride Promethazine HydrochlorideTabletOralZydus Pharmaceuticals Usa Inc.ACTIVE
70752-138Promethazine Hydrochloride Promethazine HydrochlorideSolutionOralQuagen Pharmaceuticals LlcACTIVE
81033-016Promethazine Hydrochloride Promethazine HydrochlorideSolutionOralKesin Pharma CorporationACTIVE