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
Massachusetts
Hospital Address Code Price Last Updated
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q0164 $1 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q0164 $1 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q0164 $1 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q0164 $1 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q0164 $1 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q0164 $3 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q0164 $3 [source] 4 years ago
Brigham & Women Hospital 75 Francis St, Boston Q0164 $4 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q0164 $6 [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 ยง180.