HCPCS Codes Similar to S0104

HCPCS Codes Similar to “S0104” Code.
Zidovudine, oral, 100 mg

J3485 Injection, zidovudine, 10 mg Code added date: 20010101 Code effective date: 20260101 TXT \| PDF \| XML \| JSON	G9017 Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project) Code added date: 20041201 Code effective date: 20200101 TXT \| PDF \| XML \| JSON
G9020 Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project) Code added date: 20041201 Code effective date: 20200101 TXT \| PDF \| XML \| JSON	G9033 Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-approved demonstration project) Code added date: 20041201 Code effective date: 20200101 TXT \| PDF \| XML \| JSON
G9036 Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-approved demonstration project) Code added date: 20041201 Code effective date: 20200101 TXT \| PDF \| XML \| JSON	J7502 Cyclosporine, oral, 100 mg Code added date: 20000101 Code effective date: 20000101 TXT \| PDF \| XML \| JSON
J7514 Mycophenolate mofetil (myhibbin), oral suspension, 100 mg Code added date: 20250101 Code effective date: 20250101 TXT \| PDF \| XML \| JSON	J7528 Mycophenolate mofetil, for suspension, oral, 100 mg Code added date: 20260101 Code effective date: 20260101 TXT \| PDF \| XML \| JSON
Q0180 Dolasetron mesylate, 100 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 24 hour dosage regimen Code added date: 19980401 Code effective date: 19980401 TXT \| PDF \| XML \| JSON	Q9954 Oral magnetic resonance contrast agent, per 100 ml Code added date: 20050401 Code effective date: 20050401 TXT \| PDF \| XML \| JSON
S0194 Dialysis/stress vitamin supplement, oral, 100 capsules Code added date: 20040401 Code effective date: 20040401 TXT \| PDF \| XML \| JSON	A2014 Omeza collagen matrix or omeza complete matrix, per 100 mg Code added date: 20221001 Code effective date: 20260401 TXT \| PDF \| XML \| JSON
A9589 Instillation, hexaminolevulinate hydrochloride, 100 mg Code added date: 20190101 Code effective date: 20190101 TXT \| PDF \| XML \| JSON	C9082 Injection, dostarlimab-gxly, 100 mg Code added date: 20211001 Code effective date: 20220101 TXT \| PDF \| XML \| JSON