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    HCPCS Details

    HCPC Q0167
    Short Description Dronabinol 2.5mg oral
    Long Description Dronabinol, 2.5 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
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1D
    Action code N
    Type of service 1
    Effective date 1998-04-01
    Date Added 1998-04-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00904714461 Q0167 Dronabinol 2.5mg oral DRONABINOL MAJOR PHARMACEUTICAL 2.5 MG 100 1 100 100
    00904714504 Q0167 Dronabinol 2.5mg oral DRONABINOL MAJOR PHARMACEUTICAL 2.5 MG 30 1 60 60
    53097056860 Q0167 Dronabinol 2.5mg oral Marinol THE PHARMA NETWORK 2.5 MG 60 1 60 60
    53097056960 Q0167 Dronabinol 2.5mg oral Marinol THE PHARMA NETWORK 2.5 MG 60 1 120 120
    53097057060 Q0167 Dronabinol 2.5mg oral Marinol THE PHARMA NETWORK 2.5 MG 60 1 240 240
    53097057160 Q0167 Dronabinol 2.5mg oral Dronabinol THE PHARMA NETWORK 2.5 MG 60 1 60 60
    60687038621 Q0167 Dronabinol 2.5mg oral Dronabinol AMERICAN HEALTH PACKAGING 2.5 MG 30 1 60 60
    67877056860 Q0167 Dronabinol 2.5mg oral Dronabinol ASCEND LABORATORIES 2.5 MG 60 1 60 60
    67877056960 Q0167 Dronabinol 2.5mg oral Dronabinol ASCEND LABORATORIES 2.5 MG 60 1 120 120
    67877057060 Q0167 Dronabinol 2.5mg oral Dronabinol ASCEND LABORATORIES 2.5 MG 60 1 240 240
    67877075360 Q0167 Dronabinol 2.5mg oral Dronabinol ASCEND LABORATORIES 2.5 MG 60 1 60 60
    67877075460 Q0167 Dronabinol 2.5mg oral Dronabinol ASCEND LABORATORIES 2.5 MG 60 1 120 120
    67877075560 Q0167 Dronabinol 2.5mg oral Marinol ASCEND LABORATORIES 2.5 MG 60 1 240 240
    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].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 2.5 MG
    HCPCS/CPT Billing Units 0.5
    Total doses ordered
    Billing Units 0.5