Code: Q0169

Description:
Description: Promethazine hydrochloride, 12.5 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:
PROMETHAZINE 25 MG PO
PROMETHAZINE 12.5MG TAB OP CH
PROMETHAZINE 25MG TAB OP CH
PROMETHAZINE HCL 12.5MG ORAL
Promethazine 6.25 Mg 5 Ml Syrp
AMB PROMETHAZINE NDC -> 00603-5438-21 MCD
AMB PROMETHAZINE NDC -> 00603-5438-21
AMB PROMETHAZINE NDC -> 00591-5307-01 MCD
AMB PROMETHAZINE NDC -> 00591-5307-01
Related codes:
Code: Q0161
CHLORPROMAZINE 100 MG PO
Code: Q0162
ONDANSETRON 4 MG PO
Code: Q0163
DIPHENHYDRAMINE 50 MG PO
Code: Q0164
PROCHLORPER MAL 5 MG PO
Code: Q0166
GRANISETRON 1 MG PO
Code: Q0167
DRONABINOL 2.5 MG PO
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook Q0169 $1 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee Q0169 $2 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village Q0169 $2 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale Q0169 $2 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange Q0169 $2 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights Q0169 $2 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, Q0169 $2 [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.