J3490
J3490 – Unclassified drugs · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 274 NDCs crosswalked
📋 J3490 summary
J3490 is a HCPCS Level II J-code used to bill Unclassified drugs. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with J3490: Ganirelix Acetate, Fyremadel, Testopel
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeJ3490
DescriptorUnclassified drugs
Billing unitNot available in current dataset
Payment limit / unit Not available in current dataset
Mapped NDCs274
Data periodNot available in current dataset
Last updatedSource date not available
💊 About Hepatitis B Vaccine DRUG GUIDE
Engerix-B is used to protect against infection caused by all known subtypes of hepatitis B virus.
Because hepatitis D cannot occur without hepatitis B infection, Engerix-B vaccination also helps prevent hepatitis D.
It does not protect against hepatitis A, C, E, or other liver infections.Immunization is recommended for people of all ages — from newborns to older adults — especially those at increased risk, including healthcare workers, infants born to hepatitis B-positive mothers, household contacts of infected individuals, people on hemodialysis, travelers to high-risk regions, and others with known exposure risks.
Clinical overview from our editorial drug guide for Hepatitis B Vaccine. For billing reference, see the sections above.
🧾 Billing & reimbursement HCPCS · CMS
Medicare payment limit / unit
—
Est. ASP / unit
—
Est. after 2% sequester
—
HCPCS dosage
—
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly).
Full HCPCS code details (official CMS record)
Long descriptionUnclassified drugs
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment group—
Action codeN — No maintenance this year
Effective date1997-01-01
Date added1986-01-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J3490 = 1 unit. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under J3490 LEAST EXPENSIVE FIRST
274 NDCs map to J3490. Bill units = how many HCPCS units one package represents.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|
| 70860-0751-02 | Famotidine 10 mg/mL INJECTION, SOLUTION | Athenex | 25 VIAL, SINGLE-DOSE in 1 CARTON (70860-75... | 10 mg/mL | 1 | $0.327 | Obsolete | PDAC |
| 63323-0739-12 | Famotidine 10 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-739-... | 10 mg/mL | 1 | $0.327 | ● Active | PDAC |
| 00009-3051-02 | Cleocin Phosphate clindamycin 150 mg/mL INJECTION, SOLUTION | Pharmacia | 25 VIAL in 1 CARTON (0009-3051-02) / 2 mL... | 150 mg/mL | 1 | $1.224 | ● Active | PDAC |
| 00009-0870-26 | Cleocin Phosphate clindamycin 150 mg/mL INJECTION, SOLUTION | Pharmacia | 25 VIAL in 1 CARTON (0009-0870-26) / 2 mL... | 150 mg/mL | 1 | $1.224 | ● Active | PDAC |
| 66794-0258-41 | PANTOPRAZOLE SODIUM I.V. 40 mg/10mL INJECTION, POWDER, FOR SOLUTION | Piramal | 1 VIAL in 1 CARTON (66794-258-41) / 10 mL... | 40 mg/10mL | 1 | $2.374 | ● Active | PDAC |
| 71288-0600-11 | Pantoprazole Sodium 40 mg/10mL INJECTION, POWDER, FOR SOLUTION | Meitheal | 10 VIAL, SINGLE-DOSE in 1 CARTON (71288-60... | 40 mg/10mL | 1 | $2.374 | ● Active | PDAC |
| 31722-0204-10 | pantoprazole sodium 40 mg/1 INJECTION, POWDER, FOR SOLUTION | Camber | 10 VIAL, SINGLE-DOSE in 1 CARTON (31722-20... | 40 mg/1 | 1 | $2.374 | ● Active | PDAC |
| 72603-0128-10 | Pantoprazole Sodium 40 mg/10mL INJECTION, POWDER, FOR SOLUTION | Northstar | 10 VIAL, SINGLE-DOSE in 1 CARTON (72603-12... | 40 mg/10mL | 1 | $2.374 | ● Active | PDAC |
| 25021-0751-10 | Pantoprazole Sodium 40 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sagent | 10 VIAL in 1 CARTON (25021-751-10) / 10 m... | 40 mg/10mL | 1 | $2.374 | ● Active | PDAC |
| 71839-0122-10 | Pantoprazole sodium 40 mg/10mL INJECTION, POWDER, FOR SOLUTION | BE | 10 CARTON in 1 PACKAGE (71839-122-10) / 1... | 40 mg/10mL | 1 | $2.374 | ● Active | PDAC |
| 00143-9300-10 | Pantoprazole Sodium 40 mg/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hikma | 10 VIAL in 1 CARTON (0143-9300-10) / 1 IN... | 40 mg/1 | 1 | $2.374 | ● Active | PDAC |
| 70594-0066-01 | Daptomycin 350 mg/7mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Xellia | 1 VIAL, SINGLE-USE in 1 CARTON (70594-066-... | 350 mg/7mL | 1 | $13.418 | ● Active | PDAC |
| 70594-0060-01 | Daptomycin 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Xellia | 1 VIAL, SINGLE-USE in 1 CARTON (70594-060-... | 500 mg/10mL | 1 | $20.769 | ● Active | PDAC |
| 78206-0138-02 | Ganirelix Acetate 250 ug/.5mL INJECTION, SOLUTION | Organon | 1 BLISTER PACK in 1 CARTON (78206-138-02)... | 250 ug/.5mL | 1 | $62.347 | ● Active | PDAC |
| 70700-0327-98 | Ganirelix Acetate 250 ug/.5mL INJECTION | Xiromed | 1 SYRINGE, GLASS in 1 CARTON (70700-327-98... | 250 ug/.5mL | 1 | $62.347 | ● Active | PDAC |
| 70748-0274-01 | Ganirelix Acetate 250 ug/.5mL INJECTION, SOLUTION | Lupin | 1 TRAY in 1 CARTON (70748-274-01) / 1 SYR... | 250 ug/.5mL | 1 | $62.347 | ● Active | PDAC |
| 65219-0028-05 | Ganirelix Acetate 250 ug/.5mL INJECTION | Fresenius | 1 SYRINGE, GLASS in 1 CARTON (65219-028-05... | 250 ug/.5mL | 1 | $62.347 | ● Active | PDAC |
| 00548-5001-00 | Ganirelix Acetate 250 ug/.5mL INJECTION | Amphastar | 1 SYRINGE in 1 CARTON (0548-5001-00) / .5... | 250 ug/.5mL | 1 | $62.347 | ● Active | PDAC |
| 55566-1010-01 | Fyremadel ganirelix acetate 250 ug/.5mL INJECTION, SOLUTION | Ferring | 1 BLISTER PACK in 1 CARTON (55566-1010-1)... | 250 ug/.5mL | 1 | $62.347 | ● Active | PDAC |
| 44087-1150-01 | Ovidrel choriogonadotropin alfa 250 ug/.5mL INJECTION, SOLUTION | EMD | 1 SYRINGE, GLASS in 1 CARTON (44087-1150-1... | 250 ug/.5mL | 1 | $485.508 | ● Active | PDAC |
| 78206-0138-01 | Ganirelix Acetate 250 ug/.5mL INJECTION, SOLUTION | Organon | 1 BLISTER PACK in 1 CARTON (78206-138-01)... | 250 ug/.5mL | 1 | — | ● Active | PDAC |
| 49452-0011-01 | Testosterone Propionate 1 g/g POWDER | Spectrum | 5 g in 1 BOTTLE (49452-0011-1) | 1 g/g | 1 | — | ● Active | PDAC |
| 49452-0011-02 | Testosterone Propionate 1 g/g POWDER | Spectrum | 25 g in 1 BOTTLE (49452-0011-2) | 1 g/g | 1 | — | ● Active | PDAC |
| 49452-0011-03 | Testosterone Propionate 1 g/g POWDER | Spectrum | 100 g in 1 BOTTLE (49452-0011-3) | 1 g/g | 1 | — | ● Active | PDAC |
| 51927-3213-00 | SUFENTANIL CITRATE 1 mg/mg POWDER | Professional | 1 mg in 1 CONTAINER (51927-3213-0) | 1 mg/mg | 1 | — | ● Active | PDAC |
| 38779-0165-03 | Testosterone Propionate 1 g/g POWDER | Medisca | 5 g in 1 BOTTLE, GLASS (38779-0165-3) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0165-04 | Testosterone Propionate 1 g/g POWDER | Medisca | 25 g in 1 BOTTLE, GLASS (38779-0165-4) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0165-05 | Testosterone Propionate 1 g/g POWDER | Medisca | 100 g in 1 BOTTLE, GLASS (38779-0165-5) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0165-08 | Testosterone Propionate 1 g/g POWDER | Medisca | 500 g in 1 JAR (38779-0165-8) | 1 g/g | 1 | — | ● Active | PDAC |
| 51552-0029-01 | TESTOSTERONE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0029-02 | TESTOSTERONE MICRONIZED (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0030-01 | TESTOSTERONE PROPIONATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0030-02 | TESTOSTERONE PROPIONATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0030-04 | TESTOSTERONE PROPIONATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0030-05 | TESTOSTERONE PROPIONATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0030-09 | TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0564-04 | TESTOSTERONE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0564-05 | TESTOSTERONE (U.S.P.,MICRONIZED) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0564-07 | TESTOSTERONE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51927-1026-00 | TESTOSTERONE (USP; NON MICRONIZED; SOY) | Unknown | — | — | 1 | — | — | PDAC |
| 51927-1027-00 | TESTOSTERONE MICRONIZED (U.S.P.; SOY; CIII) | Unknown | — | — | 1 | — | — | PDAC |
| 51927-1029-00 | TESTOSTERONE PROPIONATE 1 kg/kg POWDER | Professional | 1 kg in 1 CONTAINER (51927-1029-0) | 1 kg/kg | 1 | — | ● Active | PDAC |
| 62991-2150-01 | Testosterone 1 g/g POWDER | LETCO | 5 g in 1 JAR (62991-2150-1) | 1 g/g | 1 | — | ● Active | PDAC |
| 62991-2150-02 | Testosterone 1 g/g POWDER | LETCO | 25 g in 1 JAR (62991-2150-2) | 1 g/g | 1 | — | ● Active | PDAC |
| 62991-2150-03 | Testosterone 1 g/g POWDER | LETCO | 100 g in 1 JAR (62991-2150-3) | 1 g/g | 1 | — | ● Active | PDAC |
| 62991-2150-04 | Testosterone 1 g/g POWDER | LETCO | 500 g in 1 JAR (62991-2150-4) | 1 g/g | 1 | — | ● Active | PDAC |
| 66887-0004-20 | Testopel testosterone 75 mg/1 PELLET | Endo | 100 AMPULE in 1 BOX (66887-004-20) / 1 PE... | 75 mg/1 | 1 | — | ● Active | PDAC |
| 38779-0163-03 | Testosterone 1 g/g POWDER | Medisca | 5 g in 1 VIAL (38779-0163-3) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0163-04 | Testosterone 1 g/g POWDER | Medisca | 25 g in 1 VIAL (38779-0163-4) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0163-05 | Testosterone 1 g/g POWDER | Medisca | 100 g in 1 VIAL (38779-0163-5) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0163-08 | Testosterone 1 g/g POWDER | Medisca | 500 g in 1 JAR (38779-0163-8) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0163-09 | Testosterone 1 g/g POWDER | Medisca | 1000 g in 1 JAR (38779-0163-9) | 1 g/g | 1 | — | ● Active | PDAC |
| 63323-0269-50 | Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION | Fresenius | 20 VIAL in 1 BOX (63323-269-50) / 50 mL i... | 10 mg/mL | 1 | — | ● Active | PDAC |
| 63459-0391-20 | TREANDA Bendamustine Hydrochloride 100 mg/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Cephalon, | 1 VIAL, SINGLE-DOSE in 1 CARTON (63459-391... | 100 mg/20mL | 1 | — | ● Active | PDAC |
| 63323-0269-65 | Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION | Fresenius | 10 VIAL in 1 BOX (63323-269-65) / 100 mL... | 10 mg/mL | 1 | — | ● Active | PDAC |
| 63323-0269-57 | Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION | Fresenius | 20 VIAL in 1 BOX (63323-269-57) / 50 mL i... | 10 mg/mL | 1 | — | ● Active | PDAC |
| 63323-0269-67 | Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION | Fresenius | 10 VIAL in 1 BOX (63323-269-67) / 100 mL... | 10 mg/mL | 1 | — | ● Active | PDAC |
| 51927-3634-00 | CIPROFLOXACIN HYDROCHLORIDE (USP) | Unknown | — | — | 1 | — | — | PDAC |
| 58160-0821-11 | ENGERIX-B Hepatitis B Vaccine (Recombinant) 20 ug/mL INJECTION, SUSPENSION | GlaxoSmithKline | 10 VIAL in 1 CARTON (58160-821-11) / 1 mL... | 20 ug/mL | 1 | — | ● Active | PDAC |
| 62991-1352-01 | HYALURONIC ACID | Unknown | — | — | 1 | — | — | PDAC |
| 62991-1352-02 | HYALURONIC ACID | Unknown | — | — | 1 | — | — | PDAC |
| 62991-1352-04 | HYALURONIC ACID | Unknown | — | — | 1 | — | — | PDAC |
| 00409-4699-24 | PROPOFOL 10 mg/mL INJECTION, EMULSION | Hospira, | 10 VIAL in 1 TRAY (0409-4699-24) / 100 mL... | 10 mg/mL | 1 | — | ● Active | PDAC |
| 00409-4699-33 | PROPOFOL 10 mg/mL INJECTION, EMULSION | Hospira, | 20 VIAL in 1 TRAY (0409-4699-33) / 50 mL... | 10 mg/mL | 1 | — | ● Active | PDAC |
| 00049-3382-25 | SUFENTANIL CITRATE (FTV,LATEX-FREE) 50 MCG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00409-3382-21 | Sufentanil Citrate 50 ug/mL INJECTION, SOLUTION | Hospira, | 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-338... | 50 ug/mL | 1 | — | ● Active | PDAC |
| 00008-0923-55 | Protonix I.V. PANTOPRAZOLE SODIUM 40 mg/10mL INJECTION, POWDER, FOR SOLUTION | Wyeth | 10 CARTON in 1 PACKAGE (0008-0923-55) / 1... | 40 mg/10mL | 1 | — | ● Active | PDAC |
| 44087-9030-01 | Gonal-f follitropin alfa KIT | EMD | 1 KIT in 1 CARTON (44087-9030-1) * 1 mL... | — | 1 | — | ● Active | PDAC |
| 51927-1597-00 | ETHANOLAMINE (MONOETHANOLAMINE) | Unknown | — | — | 1 | — | — | PDAC |
| 62991-1021-04 | Benzocaine 1 g/g POWDER | LETCO | 500 g in 1 JAR (62991-1021-4) | 1 g/g | 1 | — | ● Active | PDAC |
| 51927-1194-00 | BENZOCAINE | Unknown | — | — | 1 | — | — | PDAC |
| 51927-1829-00 | CORTISONE ACETATE MICRONIZED (USP) | Unknown | — | — | 1 | — | — | PDAC |
| 51927-1954-00 | BETAMETHASONE ACETATE MICRONIZED (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0737-01 | NALTREXONE HYDROCHLORIDE (1X1GM,USP) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0737-02 | NALTREXONE HYDROCHLORIDE (1X5GM,USP) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0889-02 | SUFENTANIL CITRATE (1X10MG,USP) | Unknown | — | — | 1 | — | — | PDAC |
| 00006-4995-41 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) 10 ug/mL INJECTION, SUSPENSION | Merck | 10 VIAL, SINGLE-DOSE in 1 CARTON (0006-499... | 10 ug/mL | 1 | — | ● Active | PDAC |
| 00006-4992-00 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) 40 ug/mL INJECTION, SUSPENSION | Merck | 1 VIAL, SINGLE-DOSE in 1 CARTON (0006-4992... | 40 ug/mL | 1 | — | ● Active | PDAC |
| 38779-0015-01 | Bacitracin 1 g/g POWDER | Medisca | 10 g in 1 JAR (38779-0015-1) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0015-04 | Bacitracin 1 g/g POWDER | Medisca | 25 g in 1 JAR (38779-0015-4) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0015-05 | Bacitracin 1 g/g POWDER | Medisca | 100 g in 1 JAR (38779-0015-5) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0534-05 | Ciprofloxacin Hydrochloride 1 g/g POWDER | Medisca | 100 g in 1 JAR (38779-0534-5) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0534-08 | Ciprofloxacin Hydrochloride 1 g/g POWDER | Medisca | 500 g in 1 JAR (38779-0534-8) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0534-09 | Ciprofloxacin Hydrochloride 1 g/g POWDER | Medisca | 1000 g in 1 JAR (38779-0534-9) | 1 g/g | 1 | — | ● Active | PDAC |
| 00006-4981-00 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) 5 ug/.5mL INJECTION, SUSPENSION | Merck | 10 VIAL, SINGLE-DOSE in 1 CARTON (0006-498... | 5 ug/.5mL | 1 | — | ● Active | PDAC |
| 00406-0672-52 | SUFENTANIL CITRATE 1 g/g POWDER | SpecGx | 1 g in 1 BOTTLE (0406-0672-52) | 1 g/g | 1 | — | ● Active | PDAC |
| 00781-6153-95 | Penicillin G Sodium 5000000 [USP'U]/1 INJECTION, POWDER, FOR SOLUTION | Sandoz | 10 VIAL in 1 CARTON (0781-6153-95) / 1 IN... | 5000000 [USP'U]/1 | 1 | — | ● Active | PDAC |
| 10106-1080-01 | BENZOCAINE (FINE, U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 38779-0063-05 | Benzocaine 1 g/g POWDER | Medisca | 100 g in 1 JAR (38779-0063-5) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0063-08 | Benzocaine 1 g/g POWDER | Medisca | 500 g in 1 JAR (38779-0063-8) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0063-09 | Benzocaine 1 g/g POWDER | Medisca | 1000 g in 1 JAR (38779-0063-9) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-0126-01 | BETAMETHASONE ACETATE MICRONIZED (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 38779-0126-03 | BETAMETHASONE ACETATE MICRONIZED (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 38779-0126-04 | BETAMETHASONE ACETATE MICRONIZED (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 38779-0126-06 | BETAMETHASONE ACETATE MICRONIZED (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 38779-1968-07 | Sufentanil Citrate 1 g/g POWDER | Medisca | .01 g in 1 VIAL, GLASS (38779-1968-7) | 1 g/g | 1 | — | ● Active | PDAC |
| 38779-1968-09 | Sufentanil Citrate 1 g/g POWDER | Medisca | .1 g in 1 VIAL, GLASS (38779-1968-9) | 1 g/g | 1 | — | ● Active | PDAC |
| 51552-0130-04 | BENZOCAINE (U.S.P.,N.F.) | Unknown | — | — | 1 | — | — | PDAC |
| 51552-0628-01 | BETAMETHASONE ACETATE MICRONIZED (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 62991-1021-02 | Benzocaine 1 g/g POWDER | LETCO | 100 g in 1 JAR (62991-1021-2) | 1 g/g | 1 | — | ● Active | PDAC |
| 42023-0244-10 | DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Par | 10 VIAL in 1 CARTON (42023-244-10) / 10 m... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 71288-0030-21 | Doxycycline 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Meitheal | 10 VIAL, SINGLE-DOSE in 1 CARTON (71288-03... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 70436-0032-82 | doxycycline hyclate 100 mg/10mL POWDER, FOR SOLUTION | Slate | 10 VIAL, SINGLE-DOSE in 1 CARTON (70436-03... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 00703-9526-81 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Teva | 1 VIAL, MULTI-DOSE in 1 CARTON (0703-9526-... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 72603-0453-10 | Nafcillin 2 g/8mL INJECTION, POWDER, FOR SOLUTION | NorthStar | 10 VIAL in 1 BOX (72603-453-10) / 8 mL in... | 2 g/8mL | 1 | — | ● Active | PDAC |
| 72603-0567-01 | Nafcillin 10 g/100mL INJECTION, POWDER, FOR SOLUTION | NorthStar | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 10 g/100mL | 1 | — | ● Active | PDAC |
| 70748-0338-10 | DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Lupin | 10 VIAL in 1 CARTON (70748-338-10) / 10 m... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 00121-0976-10 | Cefotan Cefotetan 1 g/10mL INJECTION, POWDER, FOR SOLUTION | PAI | 10 VIAL in 1 TRAY (0121-0976-10) / 10 mL... | 1 g/10mL | 1 | — | ● Active | PDAC |
| 00121-0977-10 | Cefotan Cefotetan 2 g/20mL INJECTION, POWDER, FOR SOLUTION | PAI | 10 VIAL in 1 TRAY (0121-0977-10) / 20 mL... | 2 g/20mL | 1 | — | ● Active | PDAC |
| 00641-6023-10 | Famotidine 10 mg/mL INJECTION | Hikma | 10 VIAL in 1 CARTON (0641-6023-10) / 4 mL... | 10 mg/mL | 1 | — | ● Active | PDAC |
| 72485-0406-10 | NAFCILLIN SODIUM 2 g/1 INJECTION, POWDER, FOR SOLUTION | Armas | 10 VIAL in 1 CARTON (72485-406-10) / 1 IN... | 2 g/1 | 1 | — | ● Active | PDAC |
| 66794-0237-41 | DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Piramal | 10 VIAL in 1 CARTON (66794-237-41) / 10 m... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 72266-0237-05 | DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | FOSUN | 5 VIAL in 1 CARTON (72266-237-05) / 10 mL... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 63323-0464-39 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-464-... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 70095-0024-03 | Pantoprazole sodium 40 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sun | 25 CARTON in 1 PACKAGE (70095-024-03) / 1... | 40 mg/10mL | 1 | — | ● Active | PDAC |
| 63323-0466-39 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-466-... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 31722-0204-31 | PANTOPRAZOLE (1X40MG,SDV,FREEZE-DRIED) 40 MG | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0464-38 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-464-... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 63323-0466-38 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-466-... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 71351-0022-10 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION | Brookfield | 10 AMPULE in 1 PACKAGE (71351-022-10) / 2... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 65219-0570-04 | Bumetanide .25 mg/mL INJECTION | Fresenius | 10 VIAL, SINGLE-DOSE in 1 CARTON (65219-57... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 65219-0572-10 | Bumetanide .25 mg/mL INJECTION | Fresenius | 10 VIAL, MULTI-DOSE in 1 CARTON (65219-572... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 68462-0469-54 | Bumetanide .25 mg/mL INJECTION | GLENMARK | 10 VIAL, SINGLE-DOSE in 1 CARTON (68462-46... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 68462-0470-54 | Bumetanide .25 mg/mL INJECTION | GLENMARK | 10 VIAL, MULTI-DOSE in 1 CARTON (68462-470... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 00143-9329-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, MULTI-DOSE in 1 CARTON (0143-9329... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 00143-9328-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, MULTI-DOSE in 1 CARTON (0143-9328... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 72205-0101-07 | Bumetanide .25 mg/mL INJECTION | Novadoz | 10 VIAL in 1 CARTON (72205-101-07) / 4 mL... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 72205-0102-07 | Bumetanide .25 mg/mL INJECTION | Novadoz | 10 VIAL in 1 CARTON (72205-102-07) / 10 m... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 00480-4111-03 | PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG | Unknown | — | — | 1 | — | — | PDAC |
| 25021-0751-11 | Pantoprazole Sodium 40 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sagent | 25 VIAL in 1 CARTON (25021-751-11) / 10 m... | 40 mg/10mL | 1 | — | ● Active | PDAC |
| 16714-0644-10 | DOXYCYCLINE (SDV,PF,LATEX-FREE) 100 MG | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1761-10 | Marcaine Spinal Bupivacaine Hydrochloride in Dextrose 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 2 CELLO PACK in 1 CARTON (0409-1761-10) /... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 71839-0122-25 | Pantoprazole sodium 40 mg/10mL INJECTION, POWDER, FOR SOLUTION | BE | 25 CARTON in 1 PACKAGE (71839-122-25) / 1... | 40 mg/10mL | 1 | — | ● Active | PDAC |
| 72572-0040-10 | Bumetanide .25 mg/mL INJECTION | Civica, | 10 VIAL in 1 CARTON (72572-040-10) / 4 mL... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 72572-0041-10 | Bumetanide .25 mg/mL INJECTION | Civica, | 10 VIAL in 1 CARTON (72572-041-10) / 10 m... | .25 mg/mL | 1 | — | ● Active | PDAC |
| 67850-0150-25 | PANTOPRAZOLE SODIUM (LYOPHILIZED) 40 MG | Unknown | — | — | 1 | — | — | PDAC |
| 70860-0405-04 | BUMETANIDE (SDV,LATEX-FREE) 0.25 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 70860-0406-10 | BUMETANIDE (SDV,LATEX-FREE) 0.25 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 00409-0152-24 | Metronidazole 5 mg/mL INJECTION, SOLUTION | Hospira, | 24 POUCH in 1 CARTON (0409-0152-24) / 1 B... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 00143-9335-10 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 00143-9333-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 00143-9334-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 47335-0993-01 | METRONIDAZOLE 500 mg/100mL INJECTION, SOLUTION | Sun | 1 BAG in 1 POUCH (47335-993-01) / 100 mL... | 500 mg/100mL | 1 | — | ● Active | PDAC |
| 00143-9330-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 00143-9331-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 00143-9332-10 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 65219-0433-15 | PANTOPRAZOLE SODIUM (SDV,PF,LATEX-FREE) 40 MG | Unknown | — | — | 1 | — | — | PDAC |
| 00310-3040-00 | SAPHNELO Anifrolumab-fnia 300 mg/2mL INJECTION, SOLUTION | AstraZeneca | 1 VIAL, GLASS in 1 CARTON (0310-3040-00)... | 300 mg/2mL | 1 | — | ● Active | PDAC |
| 00143-9381-10 | Doxycycline 100 mg/1 INJECTION, POWDER, FOR SOLUTION | Hikma | 10 VIAL in 1 CARTON (0143-9381-10) / 1 IN... | 100 mg/1 | 1 | — | ● Active | PDAC |
| 70860-0753-20 | FAMOTIDINE (M.D.V.,LATEX-FREE) 10 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 67457-0921-05 | SULFAMETHOXAZOLE/TRIMETHOPRIM NOVAPLUS 80 MG/1 ML-16 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 67457-0922-30 | SULFAMETHOXAZOLE/TRIMETHOPRIM NOVAPLUS 80 MG/1 ML-16 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 72572-0015-25 | Aminocaproic Acid 250 mg/mL INJECTION, SOLUTION | Civica, | 25 VIAL, MULTI-DOSE in 1 TRAY (72572-015-2... | 250 mg/mL | 1 | — | ● Active | PDAC |
| 72572-0550-10 | PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3232-95 | PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG | Unknown | — | — | 1 | — | — | PDAC |
| 00703-9514-93 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Teva | 10 VIAL, MULTI-DOSE in 1 CARTON (0703-9514... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 72572-0025-10 | BACITRACIN (LATEX-FREE,LYOPHILIZED) 50000 U | Unknown | — | — | 1 | — | — | PDAC |
| 76420-0018-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Asclemed | 10 mL in 1 VIAL, SINGLE-DOSE (76420-018-10... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 00517-9191-01 | AMINOCAPROIC ACID NOVAPLUS (MDV) 250 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 00517-9191-25 | Aminocaproic Acid 250 mg/mL INJECTION, SOLUTION | American | 25 VIAL, MULTI-DOSE in 1 TRAY (0517-9191-2... | 250 mg/mL | 1 | — | ● Active | PDAC |
| 70594-0026-04 | BACITRACIN NOVAPLUS 50000 U | Unknown | — | — | 1 | — | — | PDAC |
| 00009-4073-04 | Cleocin Phosphate clindamycin 150 mg/mL INJECTION, SOLUTION | Pharmacia | 25 VIAL in 1 CARTON (0009-4073-04) / 4 mL... | 150 mg/mL | 1 | — | ● Active | PDAC |
| 00009-5095-06 | Cleocin Phosphate clindamycin 150 mg/mL INJECTION, SOLUTION | Pharmacia | 25 VIAL in 1 CARTON (0009-5095-06) / 6 mL... | 150 mg/mL | 1 | — | ● Active | PDAC |
| 70069-0361-10 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Somerset | 10 VIAL in 1 CARTON (70069-361-10) / 5 mL... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 70069-0362-10 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Somerset | 10 VIAL in 1 CARTON (70069-362-10) / 10 m... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 70069-0363-01 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Somerset | 1 VIAL in 1 CARTON (70069-363-01) / 30 mL... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 62756-0129-40 | PANTOPRAZOLE SODIUM 40 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sun | 1 VIAL in 1 CARTON (62756-129-40) / 10 mL... | 40 mg/10mL | 1 | — | ● Active | PDAC |
| 62756-0129-44 | PANTOPRAZOLE SODIUM 40 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sun | 10 VIAL in 1 CARTON (62756-129-44) / 10 m... | 40 mg/10mL | 1 | — | ● Active | PDAC |
| 72611-0634-25 | CLINDAMYCIN 150 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 72611-0639-25 | CLINDAMYCIN 150 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 72611-0642-25 | CLINDAMYCIN 150 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 72611-0645-55 | CLINDAMYCIN 150 MG/1 ML | Unknown | — | — | 1 | — | — | PDAC |
| 67850-0031-10 | NAFCILLIN 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 67850-0032-10 | NAFCILLIN 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 59923-0717-05 | BUPIVACAINE FISIOPHARMA 0.25% | Unknown | — | — | 1 | — | — | PDAC |
| 59923-0718-05 | BUPIVACAINE FISIOPHARMA 0.5% | Unknown | — | — | 1 | — | — | PDAC |
| 59923-0719-10 | BUPIVACAINE FISIOPHARMA 0.25% | Unknown | — | — | 1 | — | — | PDAC |
| 59923-0720-10 | BUPIVACAINE FISIOPHARMA 0.5% | Unknown | — | — | 1 | — | — | PDAC |
| 55566-1000-01 | GANIRELIX ACETATE 250 MCG/0.5 ML | Unknown | — | — | 1 | — | — | PDAC |
| 70594-0026-02 | BACITRACIN (LYOPHILIZED) 50000 U | Unknown | — | — | 1 | — | — | PDAC |
| 70860-0119-99 | Nafcillin 10 g/100mL INJECTION, POWDER, FOR SOLUTION | Athenex | 1 BOTTLE in 1 CARTON (70860-119-99) / 100... | 10 g/100mL | 1 | — | Obsolete | PDAC |
| 70860-0116-26 | NAFCILLIN (PF,LATEX-FREE) 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 70860-0117-26 | NAFCILLIN (PF,LATEX-FREE) 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 68382-0910-10 | Doxycycline 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Zydus | 10 VIAL in 1 CARTON (68382-910-10) / 10 m... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 00143-9670-10 | Cefotetan 1 g/1 INJECTION, POWDER, FOR SOLUTION | Hikma | 10 VIAL in 1 CARTON (0143-9670-10) / 1 IN... | 1 g/1 | 1 | — | ● Active | PDAC |
| 00143-9671-10 | Cefotetan 2 g/1 INJECTION, POWDER, FOR SOLUTION | Hikma | 10 VIAL in 1 CARTON (0143-9671-10) / 1 IN... | 2 g/1 | 1 | — | ● Active | PDAC |
| 00409-3713-01 | NAFCILLIN (PF,LATEX-FREE) 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00409-3714-01 | NAFCILLIN (PF,LATEX-FREE) 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00409-3715-01 | NAFCILLIN (PF,LATEX-FREE) 10 GM | Unknown | — | — | 1 | — | — | PDAC |
| 49452-0409-04 | AMINOCAPROIC ACID (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 63275-9983-04 | TESTOSTERONE MICRONIZED | Unknown | — | — | 1 | — | — | PDAC |
| 63275-9983-05 | TESTOSTERONE MICRONIZED | Unknown | — | — | 1 | — | — | PDAC |
| 63275-9983-08 | TESTOSTERONE MICRONIZED | Unknown | — | — | 1 | — | — | PDAC |
| 63275-9983-09 | TESTOSTERONE MICRONIZED | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0385-10 | Cefotetan 1 g/10mL INJECTION, POWDER, FOR SOLUTION | Fresenius | 10 VIAL in 1 CARTON (63323-385-10) / 10 m... | 1 g/10mL | 1 | — | ● Active | PDAC |
| 63323-0386-20 | Cefotetan 2 g/20mL INJECTION, POWDER, FOR SOLUTION | Fresenius | 10 VIAL in 1 CARTON (63323-386-20) / 20 m... | 2 g/20mL | 1 | — | ● Active | PDAC |
| 63323-0282-02 | CLINDAMYCIN (SDV,USP,2MLX25) 150 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0282-04 | CLINDAMYCIN (SDV,USP,4MLX25) 150 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0282-06 | CLINDAMYCIN (SDV,USP,6MLX25) 150 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0282-60 | CLINDAMYCIN (USP) 150 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 44087-9070-01 | GONAL-F (MDV) 1200 IU | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9126-46 | NOVAPLUS NAFCILLIN 10 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9124-85 | NOVAPLUS NAFCILLIN 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9125-85 | NOVAPLUS NAFCILLIN 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9224-15 | NOVAPLUS NAFCILLIN (ADD-VANTAGE) 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9225-20 | NOVAPLUS NAFCILLIN (ADD-VANTAGE) 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9224-92 | NOVAPLUS NAFCILLIN (USP,ADD-VANTAGE) 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9225-92 | NOVAPLUS NAFCILLIN (USP,ADD-VANTAGE) 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1412-10 | BUMETANIDE (MDV,USP,10X10ML) 0.25 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1412-04 | BUMETANIDE (SDFLIPTOP VIAL,USP) 0.25 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3128-92 | NAFCILLIN (USP,ADD-VANTAGE VIAL) 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00409-4699-30 | PROPOFOL (FLIPTOP VIAL) 10 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1162-01 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1162-... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 00781-3129-92 | NAFCILLIN SODIUM (2GMX10, ADD-VANTAGE) 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-9124-95 | NOVAPLUS NAFCILLIN 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1587-50 | Marcaine BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 1 VIAL, MULTI-DOSE in 1 CARTON (0409-1587-... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1165-01 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1165-... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1162-02 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1162-... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1610-50 | MARCAINE HCL (M.D.V.) 0.5% | Unknown | — | — | 1 | — | — | PDAC |
| 00409-3382-25 | SUFENTANIL CITRATE (USP,10X5ML) 50 MCG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00409-7811-37 | METRONIDAZOLE (LIFECARE,QUAD PACK) 500 MG/100 ML | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3124-85 | NAFCILLIN SODIUM 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3125-85 | NAFCILLIN SODIUM 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3126-46 | NAFCILLIN SODIUM 10 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1559-30 | MARCAINE HCL (S.D.V.,LATEX-FREE) 0.25% | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1560-10 | MARCAINE HCL (S.D.V.) 0.5% | Unknown | — | — | 1 | — | — | PDAC |
| 00409-7811-24 | METRONIDAZOLE (S.D.V.,LATEX-FREE) 500 MG/100 ML | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1559-10 | MARCAINE HCL (10X10ML, S.D.V.) 0.25% | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1159-02 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1159-... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1560-29 | MARCAINE HCL (S.D.V.) 0.5% | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1582-29 | Marcaine BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-158... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1582-10 | Marcaine BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 10 VIAL, SINGLE-DOSE in 1 TRAY (0409-1582-... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-3382-22 | SUFENTANIL CITRATE (10X2ML,LATEX-FREE) 50 MCG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1159-01 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1159-... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1761-02 | MARCAINE SPINAL (AMP,W/DEXTROSE,PF) 0.75% | Unknown | — | — | 1 | — | — | PDAC |
| 00409-1165-02 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1165-... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-4346-73 | Aminocaproic Acid 250 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-4346-... | 250 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1160-01 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-1160-0... | 2.5 mg/mL | 1 | — | ● Active | PDAC |
| 00409-1163-01 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-1163-0... | 5 mg/mL | 1 | — | ● Active | PDAC |
| 00781-3125-92 | NAFCILLIN SODIUM (ADD-VANTAGE VIAL) 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00409-3613-01 | Bupivacaine Spinal BUPIVACAINE HYDROCHLORIDE IN DEXTROSE 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 10 AMPULE in 1 CARTON (0409-3613-01) / 2... | 7.5 mg/mL | 1 | — | ● Active | PDAC |
| 44087-9005-01 | GONAL-F RFF 75 IU | Unknown | — | — | 1 | — | — | PDAC |
| 44087-9005-06 | GONAL-F RFF 75 IU | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3124-95 | NAFCILLIN SODIUM (VIAL) 1 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3125-95 | NAFCILLIN SODIUM (VIAL) 2 GM | Unknown | — | — | 1 | — | — | PDAC |
| 00781-3126-95 | NAFCILLIN SODIUM (VIAL,PHARMACY BULK) 10 GM | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0329-30 | BACITRACIN (LATEX-FREE) 50000 U | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0130-11 | Doxy 100 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 10 VIAL in 1 TRAY (63323-130-11) / 10 mL... | 100 mg/10mL | 1 | — | ● Active | PDAC |
| 62991-2501-01 | BETAMETHASONE ACETATE MICRONIZED (U.S.P., 24) | Unknown | — | — | 1 | — | — | PDAC |
| 62991-2501-02 | BETAMETHASONE ACETATE MICRONIZED (U.S.P., 24) | Unknown | — | — | 1 | — | — | PDAC |
| 00052-0301-51 | GANIRELIX ACETATE 250 MCG/0.5 ML | Unknown | — | — | 1 | — | — | PDAC |
| 00517-9120-25 | Aminocaproic Acid 250 mg/mL INJECTION, SOLUTION | American | 25 VIAL, MULTI-DOSE in 1 TRAY (0517-9120-2... | 250 mg/mL | 1 | — | ● Active | PDAC |
| 63275-6200-06 | SUFENTANIL CITRATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 63275-6200-07 | SUFENTANIL CITRATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 63275-6200-09 | SUFENTANIL CITRATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 00004-0350-09 | PEGASYS (S.D.V.) 180 MCG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00006-4995-00 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) 10 ug/mL INJECTION, SUSPENSION | Merck | 1 VIAL, SINGLE-DOSE in 1 CARTON (0006-4995... | 10 ug/mL | 1 | — | ● Active | PDAC |
| 00009-0233-01 | BACITRACIN 50000 U | Unknown | — | — | 1 | — | — | PDAC |
| 00009-0728-09 | Cleocin Phosphate clindamycin 150 mg/mL INJECTION, SOLUTION | Pharmacia | 5 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 150 mg/mL | 1 | — | Obsolete | PDAC |
| 00009-0775-26 | Cleocin Phosphate clindamycin 150 mg/mL INJECTION, SOLUTION | Pharmacia | 25 VIAL in 1 CARTON (0009-0775-26) / 4 mL... | 150 mg/mL | 1 | — | ● Active | PDAC |
| 00009-0902-18 | Cleocin Phosphate clindamycin 150 mg/mL INJECTION, SOLUTION | Pharmacia | 25 VIAL in 1 CARTON (0009-0902-18) / 6 mL... | 150 mg/mL | 1 | — | ● Active | PDAC |
| 00009-3124-03 | CLEOCIN PHOSPHATE (ADD-VANTAGE,25X4ML) 150 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00009-3447-03 | CLEOCIN PHOSPHATE (ADD-VANTAGE,25X6ML) 150 MG/ML | Unknown | — | — | 1 | — | — | PDAC |
| 00068-0597-01 | Rifadin IV rifampin 600 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sanofi-Aventis | 1 VIAL, GLASS in 1 CARTON (0068-0597-01)... | 600 mg/10mL | 1 | — | ● Active | PDAC |
| 00264-5535-32 | METRONIDAZOLE 500 mg/100mL SOLUTION | B. | 6 CARTON in 1 CASE (0264-5535-32) / 4 CON... | 500 mg/100mL | 1 | — | ● Active | PDAC |
| 00338-1017-41 | NAFCILLIN SODIUM (GALAXY,PREMIX) 1 GM/50 ML | Unknown | — | — | 1 | — | — | PDAC |
| 00338-1055-48 | Metronidazole 500 mg/100mL INJECTION, SOLUTION | Baxter | 24 BAG in 1 CARTON (0338-1055-48) / 100 m... | 500 mg/100mL | 1 | — | ● Active | PDAC |
| 00338-5197-41 | Famotidine 20 mg/50mL INJECTION, SOLUTION | Baxter | 12 BAG in 1 CARTON (0338-5197-41) / 50 mL... | 20 mg/50mL | 1 | — | ● Active | PDAC |
| 00703-9503-03 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Teva | 10 VIAL, SINGLE-DOSE in 1 CARTON (0703-950... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 00703-9514-03 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Teva | 10 VIAL, MULTI-DOSE in 1 CARTON (0703-9514... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 00703-9526-01 | Sulfamethoxazole and Trimethoprim 80 mg/mL; 16 mg/mL INJECTION, SOLUTION, CONCENTRATE | Teva | 1 VIAL, MULTI-DOSE in 1 CARTON (0703-9526-... | 80 mg/mL; 16 mg/mL | 1 | — | ● Active | PDAC |
| 39822-0277-02 | BACIIM (STERILE) 50000 U | Unknown | — | — | 1 | — | — | PDAC |
| 63275-6200-01 | SUFENTANIL CITRATE (U.S.P.) | Unknown | — | — | 1 | — | — | PDAC |
| 63323-0738-20 | Famotidine 10 mg/mL INJECTION, SOLUTION | Fresenius | 10 VIAL, MULTI-DOSE in 1 TRAY (63323-738-2... | 10 mg/mL | 1 | — | ● Active | PDAC |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$54.46M
Medicare paid
$43.31M
Submitted services
1,880,242
Denial rate
78.5%
Allowed / service
$134.91
Submitted charges
$181.48M
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
🗺️ Where J3490 is utilized CMS · BY PROVIDER · 2024
Medicare Part B services for this code by the rendering provider's state — 485,201 services across 50 states & territories in 2024 (CMS reports include DC and U.S. territories). Switch to per 100k to compare states fairly regardless of population. Hover or tap a state for its top ZIP codes.
Hover or tap a state to see its numbers + top ZIP codes.
Per-capita = services ÷ 2023 state population × 100,000 (so high-population states aren't automatically "hotter"). Counts reflect the provider's location, not the patient's. Providers with fewer than 11 patients are hidden by CMS for privacy, so totals run low and per-100k can be noisy in small states — read this as relative geography, not exact counts. Source: CMS Medicare Physician & Other Practitioners — by Provider and Service, 2024.
📊 What bills under J3490
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Not available
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
274 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
No reportable utilization
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ J3490 billing FAQ
What is HCPCS code J3490?
J3490 is a HCPCS Level II J-code used to bill Unclassified drugs under Medicare Part B and most medical (not pharmacy) benefits.
Which NDCs bill under J3490?
274 NDCs currently map to J3490 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J3490 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.