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
Nevada
Hospital Address Code Price Last Updated
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas Q0164 $3 [source] 4 years ago
Renown Regional Medical Center 1155 Mill Street, Reno Q0164 $5 [source] 4 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno Q0164 $5 [source] 4 years ago
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas Q0164 $8 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks Q0164 $19 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q0164 $36 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas Q0164 $36 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q0164 $40 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q0164 $41 [source] 4 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas Q0164 $48 [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.