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

Massachusetts

Hospital	Address	Code	Price	Last Updated
Cooley Dickinson Health Care	30 Locust St, Northampton	Q0169	$1 [source]	4 years ago
Nantucket Cottage Hospital	57 Prospect St, Nantucket	Q0169	$1 [source]	4 years ago
Brigham & Womens Hospital, Inc.	75 Francis St, Boston	Q0169	$1 [source]	4 years ago
Massachusetts General Hospital	55 Fruit St, Boston	Q0169	$2 [source]	4 years ago
Massachusetts Eye And Ear	243 Charles St, Boston	Q0169	$72 [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.