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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte Q0169 $1 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q0169 $1 [source] 4 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte Q0169 $1 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q0169 $1 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q0169 $1 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q0169 $1 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q0169 $1 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q0169 $1 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q0169 $1 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q0169 $1 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q0169 $1 [source] 4 years ago
Central Carolina Hospital 1135 Carthage Street, Sanford Q0169 $1 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q0169 $2 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q0169 $2 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q0169 $2 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q0169 $2 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q0169 $2 [source] 4 years ago
Mcdowell Hospital , Marion Q0169 $8 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q0169 $8 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q0169 $8 [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.