HCPCS Level IItemporaryActive
Q0175
Perphenazine 4mg oral
BETOS: O1D
Effective: 1998-04-01
Referenced in 1 policies
Description
Perphenazine, 4 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
PERPHENAZINE 2 MG
NDC: 00781-1046-01PO