Acetazolamide
NDC 67457-853 · Mylan Institutional LLC
Packages
67457-853-50 — 1 VIAL in 1 CARTON (67457-853-50) / 5 mL in 1 VIAL
Billed under HCPCS
J1120 — Injection, acetazolamide sodium, up to 500 mg Medicare Part B payment limit (ASP + 6%): $28.13
Related Codes
Same active ingredient
FDA lists these products with the same active ingredient.
0143-9006 — Acetazolamide, 0143-9503 — Acetazolamide, 23155-313 — Acetazolamide, 23155-831 — Acetazolamide, 25021-839 — Acetazolamide Sodium, 39822-0190 — Acetazolamide, 68083-661 — Acetazolamide
Poisoning, adverse-effect and underdosing codes for this drug
The ICD-10-CM Table of Drugs and Chemicals carries these diagnosis codes for this drug — a drug-name match derived from FDA's product name and the Table of Drugs and Chemicals, not a CMS-published pairing.
T50.2X1 — Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, accidental (unintentional), T50.2X2 — Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, intentional self-harm, T50.2X3 — Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, assault, T50.2X4 — Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, undetermined, T50.2X5 — Adverse effect of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, T50.2X6 — Underdosing of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics