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
Texas
Hospital Address Code Price Last Updated
Woman's Hospital Of Texas 7600 Fannin, Houston Q0164 $2 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q0164 $4 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q0164 $6 [source] 4 years ago
Medical City Green Oaks Hospital 7808 Clodus Fields Dr, Dallas Q0164 $6 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q0164 $7 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q0164 $12 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q0164 $12 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q0164 $12 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q0164 $25 [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.