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    HCPCS Details

    HCPC J1454
    Short Description Inj fosnetupitant, palonoset
    Long Description Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2019-01-01
    Date Added 2019-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    69639010201 J1454 Inj fosnetupitant, palonoset AKYNZEO (IV Injection) HELSINN THERAPUTICS (US) INC 0.25 MG 1 1 1 1
    69639010501 J1454 Inj fosnetupitant, palonoset AKYNZEO (IV Injection) HELSINN THERAPUTICS (US) INC 0.25 MG 1 1 1 1
    69639010601 J1454 Inj fosnetupitant, palonoset Akynzeo (IV injection) HELSINN THERAPEUTICS (U.S.), INC. 0.25 MG 1 1 1 1
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].