HCPCS Level IItemporaryActive
Q0169
Promethazine hcl 12.5mg oral
BETOS: O1D
Effective: 1998-04-01
Referenced in 1 policies
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
Drug Products
FDA-registered drug products mapped to this HCPCS code
PROMETHAZINE HYDROCHLORIDE6.25
promethazine hydrochloride
NDC: 00116-4023-16SYRUP