Multiple Manufacturers

ARSENIC TRIOXIDE

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

Multiple Manufacturers

Arsenic Trioxide HCPCS:

J9017

HCPCS Code Descriptor:

Injection, arsenic trioxide, 1 mg

Category:

J Code

Arsenic Trioxide NDCs:

50742-0438-10, 00781-3498-94, 69918-0720-02, 70121-1483-01, 63459-0601-06, 63323-0637-10, 70860-0217-10, 14789-0600-10, 54879-0027-10, 70710-1610-06, 70710-1896-06, 00781-3498-95, 55150-0366-10, 25021-0227-06, 70121-1658-01, 70710-1895-06, 70121-1483-07, 68382-0997-10, 25021-0226-10, 23155-0870-41, 23155-0869-41, 69918-0720-10

Primary Type:

Oncology

Generic/Specialty Status:

Multi-Source

Package Type:

Multiple

Route of Administration:

Intravenous

Arsenic Trioxide CPT Codes:

Some of the most common CPT administration codes for 'buy and bill' drugs can be found at the following link:

Potential NDC Listing Errors:

We have identified listing errors with the following NDCs:

72205-0171-07, 23155-0869-41, 69918-0720-10, 23155-0870-41, 68382-0997-10, 25021-0226-10, 70710-1895-06, 70121-1483-07, 70121-1658-01, 55150-0366-10, 25021-0227-06, 70710-1896-06, 00781-3498-95, 70710-1610-06, 14789-0600-10, 54879-0027-10, 63323-0637-10, 70860-0217-10, 63459-0601-06, 00781-3498-94, 69918-0720-02, 70121-1483-01

About Arsenic Trioxide:

ARSENIC TRIOXIDE is a medication manufactured by multiple manufacturers and aligned to the J Code: J9017. ARSENIC TRIOXIDE is administered via the intravenous route of administration.

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J9017 Added Date:

January 1, 2002

J9017 Effective Date:

January 1, 2009

J9017 Termination Date:

HCPCS Active

We have not yet identified a manufacturer source of Arsenic Trioxide billing and coding information.
Arsenic Trioxide patient assistance information can be found through KabiCare at the URL: https://kabicare.us/
ARSENIC TRIOXIDE prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date.
Our team has not yet identified a source of side effects information for ARSENIC TRIOXIDE. Please check back in a few weeks.