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J2471 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J2471

Inj pantoprazole(hikma) 40mg

BETOS: O1E

Effective: 2024-07-01

Description

Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

Pantoprazole Sodium40

Pantoprazole Sodium

NDC: 00143-9284-10INJECTION, POWDER, LYOPHILIZED, FOR SOLUTIONIV

Hikma Pharmaceuticals USA Inc.

Billing: EA

PANTOPRAZOLE SODIUM SDV,LYOPHILIZED 40 MG

NDC: 72572-0553-10IV

Billing: EA

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

No coverage policies currently reference this code

This code is not currently listed in any LCD or NCD coverage policies in our database.

About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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