S0160 Dextroamphetamine sulfate, 5 mg

Billable / valid for submission HCPCS Release 2026Q3

Short description: Dextroamphetamine

Version history

Release	Valid from	Valid to	Description	Billable
2026Q3	2026-07-01	current	Dextroamphetamine sulfate, 5 mg	yes

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S0109 Methadone, oral, 5 mg
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S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)
S0122 Injection, menotropins, 75 iu
S0126 Injection, follitropin alfa, 75 iu
S0128 Injection, follitropin beta, 75 iu
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S0137 Didanosine (ddi), 25 mg
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S0140 Saquinavir, 200 mg
S0142 Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg
S0145 Injection, pegylated interferon alfa-2a, 180 mcg per ml
S0148 Injection, pegylated interferon alfa-2b, 10 mcg
S0155 Sterile dilutant for epoprostenol, 50 ml
S0156 Exemestane, 25 mg