2010 HCPCS Schedule - DE Medical Assistance Program

J7672 METAPROTERENOL SULFATE .6% O $0.00
J7674 METHACHOLINE CHLORIDE, NEB 9 $0.00
J7675 METAPROTERENOL SULFATE 5% O $0.00
J7676 PENTAMIDINE COMP UNIT DOSE 9 $0.00
J7680 TERBUTALINE SULF COMP CON 9 $0.00
J7681 TERBUTALINE SULF COMP UNIT 9 $0.00
J7682 TOBRAMYCIN NON-COMP UNIT 9 $0.00
J7683 TRIAMCINOLONE COMP CON 9 $0.00
J7684 TRIAMCINOLONE COMP UNIT 9 $0.00
J7685 TOBRAMYCIN COMP UNIT 9 $0.00
J7699 INHALATION SOLUTION FOR DME O $0.00
J7799 NON-INHALATION DRUG FOR DME O $0.00
J8498 ANTIEMETIC RECTAL/SUPP NOS 9 $0.00
J8499 ORAL PRESCRIP DRUG NON CHEMO 9 $0.00
J8501 ORAL APREPITANT 9 $0.00
J8510 ORAL BUSULFAN 9 $0.00
J8515 CABERGOLINE, ORAL 0.25MG 9 $0.00
J8520 CAPECITABINE, ORAL, 150 MG 9 $0.00
J8521 CAPECITABINE, ORAL, 500 MG 9 $0.00
J8530 CYCLOPHOSPHAMIDE ORAL 25 MG 9 $0.00
J8540 ORAL DEXAMETHASONE 9 $0.00
J8560 ETOPOSIDE ORAL 50 MG 9 $0.00
J8565 GEFITINIB ORAL 9 $0.00
J8597 ANTIEMETIC DRUG ORAL NOS 9 $0.00
J8600 MELPHALAN ORAL 2 MG 9 $0.00
J8610 METHOTREXATE ORAL 2.5 MG 9 $0.00
J8650 NABILONE ORAL 9 $0.00
J8700 TEMOZOLOMIDE 9 $0.00
J8705 TOPOTECAN ORAL 9 $0.00
J8999 ORAL PRESCRIPTION DRUG CHEMO 9 $0.00
J9000 DOXORUBICIN HCL INJECTION 3 $3.48
J9001 DOXORUBICIN HCL LIPOSOME INJ 3 $464.27
J9010 ALEMTUZUMAB INJECTION O $0.00
J9015 ALDESLEUKIN INJECTION 5 $0.00
J9017 ARSENIC TRIOXIDE INJECTION 3 $37.26
J9020 ASPARAGINASE INJECTION 3 $60.21
J9025 AZACITIDINE INJECTION 3 $4.79
J9027 CLOFARABINE INJECTION 3 $115.43
J9031 BCG LIVE INTRAVESICAL VAC 3 $110.63
J9033 BENDAMUSTINE INJECTION 3 $18.46
J9035 BEVACIZUMAB INJECTION 3 $57.46
J9040 BLEOMYCIN SULFATE INJECTION 3 $24.24
J9041 BORTEZOMIB INJECTION 3 $35.90
J9045 CARBOPLATIN INJECTION 3 $4.84
J9050 CARMUSTINE INJECTION 5 $0.00
J9055 CETUXIMAB INJECTION 3 $49.24
J9060 CISPLATIN 10 MG INJECTION 3 $2.08
J9062 CISPLATIN 50 MG INJECTION 3 $10.41
J9065 INJ CLADRIBINE PER 1 MG 5 $0.00