Code: Q0164

Description:

Description: Prochlorperazine maleate, 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
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

PROCHLORPER MAL 10 MG PO

PROCHLORPERAZINE MALEATE 10 MG TABLET

PROCHLORPERAZINE MALEATE 5 MG TABLET

PROCHLORPERAZINE 10MG UT

PROCHLORPERAZINE 5MG UT

PROCHLORPERAZINE MALEATE 5 MG TABLET PACKAGE PRICE

prochlorperazine 5 mg tablet 1 each BLIST PACK

prochlorperazine 5 mg tablet 100 each BLIST PACK

prochlorperazine 5 mg tablet 100 each Bottle

Related codes:

Code: Q0161

CHLORPROMAZINE 100 MG PO

Code: Q0162

ONDANSETRON 4 MG PO

Code: Q0163

DIPHENHYDRAMINE 50 MG PO

Code: Q0166

GRANISETRON 1 MG PO

Code: Q0167

DRONABINOL 2.5 MG PO

Code: Q0169

PROMETHAZINE 12.5 MG PO

Kansas

Hospital	Address	Code	Price	Last Updated
Menorah Medical Center	5721 W. 119Th Street, Shawnee Mission	Q0164	$1 [source]	4 years ago
Western Plains Medical Complex	3001 Avenue A, Dodge City	Q0164	$3 [source]	4 years ago
Overland Park Regional Medical Center	10500 Quivira Road, Shawnee Mission	Q0164	$5 [source]	4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.