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ALL MEDICAL CODES IN CATEGORY Non-Medicare Drug Codes
2025 HCPCS code S0106
Bupropion HCL sustained release tablet, 150 mg, per bottle of 60 tablets.
2025 HCPCS code S0108
Mercaptopurine, oral, 50 mg
2025 HCPCS code S0040
Supply of 3.1 grams of injectable ticarcillin disodium and clavulanate potassium.
2025 HCPCS code S0023
Injection, cimetidine hydrochloride, 300 mg
2025 HCPCS code S0032
Injectable nafcillin sodium, 2 grams.
2025 HCPCS code S0174
Dolasetron mesylate, oral, 50 mg. Used for circumstances falling under the Medicare statute (Use Q0180 for Medicare).
2025 HCPCS code S0091
Supply of granisetron hydrochloride, 1 mg.
2025 HCPCS code S0140
HCPCS code S0140 represents the supply of 200 mg of saquinavir, an antiviral medication used to treat HIV-1 infection.
2025 HCPCS code S0119
Supply of 4 mg ondansetron orally.
2025 HCPCS code S0093
Supply of a 500 mg injection of morphine sulfate as a loading dose for infusion pump administration.
2025 HCPCS code S0138
Supply of 5 mg of finasteride for the treatment of benign prostatic hyperplasia (BPH).
2025 HCPCS code S0014
Supply of tacrine hydrochloride, 10 mg.
2025 HCPCS code S0088
Supply of 100 mg of imatinib.
2025 HCPCS code S0092
Injectable hydromorphone hydrochloride (250 mg loading dose for infusion pump).
2025 HCPCS code S0183
Supply of 5 mg of oral prochlorperazine maleate; not reimbursable by Medicare.
2025 HCPCS code S0187
Tamoxifen citrate (10mg) oral administration; not reportable to Medicare.
2025 HCPCS code S0148
Inyección, interferón alfa-2b pegilado, 10 mcg.
2025 HCPCS code S0182
Supply of 50 mg of oral procarbazine hydrochloride.
2025 HCPCS code S0034
Injectable ofloxacin, 400 mg
2025 HCPCS code S0104
Zidovudine 100 mg oral.
2025 HCPCS code S0021
Injection of cefoperazone sodium, 1 gram.
2025 HCPCS code S0176
Hydroxyurea, oral, 500 mg
2025 HCPCS code S0145
Injection, pegylated interferon alfa-2a, 180 mcg per ml.
2025 HCPCS code S0175
Flutamide, oral, 125 mg.
2025 HCPCS code S0177
Supply of 50 mg of oral levamisole hydrochloride.
2025 HCPCS code S0178
Supply of 10 mg of oral lomustine.
2025 HCPCS code S0157
Supply of 0.5 grams of becaplermin gel 0.01%.
2025 HCPCS code S0080
Supply of pentamidine isethionate; one unit represents 300 mg.
2025 HCPCS code S0028
Injectable famotidine, 20 mg supply.
2025 HCPCS code S0164
Supply of 40 mg injectable pantoprazole sodium.
2025 HCPCS code S0189
Testosterone pellet, 75 mg; for subcutaneous implantation to treat testosterone deficiency.
2025 HCPCS code S0156
Supply of 25 mg of exemestane.
2025 HCPCS code S0194
توريد مكملات الفيتامينات، عن طريق الفم، 100 كبسولة؛ لا يمكن سداده من قبل Medicare.
2025 HCPCS code S0194
Suministro de suplemento vitamínico, oral, 100 cápsulas; no reembolsable por parte de Medicare.
2025 HCPCS code S0194
Поставка витаминной добавки для перорального применения, 100 капсул; Medicare не возмещает расходы.
2025 HCPCS code S0194
비타민 보충제, 경구, 100 캡슐 공급. 메디케어에서 환급할 수 없습니다.
2025 HCPCS code S0194
Lieferung eines oralen Vitaminpräparats, 100 Kapseln; nicht erstattungsfähig durch Medicare.
2025 HCPCS code S0194
Fourniture d'un supplément vitaminique, oral, 100 gélules ; non remboursable par Medicare.
2025 HCPCS code S0194
Pagbibigay ng suplemento ng bitamina, oral, 100 kapsula; hindi mababayaran ng Medicare.
2025 HCPCS code S0194
供应口服维生素补充剂，100粒胶囊；医疗保险不予报销。
2025 HCPCS code S0194
Cung cấp vitamin bổ sung, uống, 100 viên; không được Medicare hoàn trả.
2025 HCPCS code S0191
Suministro de 200 mcg de misoprostol oral; no debe declararse a Medicare.
2025 HCPCS code S0191
供应200微克的口服米索前列醇；不可向Medicare报告。
2025 HCPCS code S0191
Fourniture de 200 mcg de misoprostol oral ; non déclarable à l'assurance-maladie.
2025 HCPCS code S0191
Lieferung von 200 mcg oralem Misoprostol; nicht an Medicare meldepflichtig.
2025 HCPCS code S0191
Pagbibigay ng 200 mcg ng oral misoprostol; hindi naiulat sa Medicare.
2025 HCPCS code S0191
توريد 200 ميكروجرام من الميزوبروستول الفموي؛ لا يمكن الإبلاغ عنه إلى Medicare.
2025 HCPCS code S0191
Поставка 200 мкг перорального мизопростола; не подлежит регистрации в Medicare.
2025 HCPCS code S0191
Cung cấp 200 mcg misoprostol uống; không báo cáo với Medicare.
2025 HCPCS code S0183
توريد 5 ملغ من مالات بروكلوربيرازين عن طريق الفم؛ لا يمكن سداده من قبل Medicare.
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