| J7503 | Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
| J7508 | Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg |
| A4391 | Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each |
| A5057 | Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
| V2513 | Contact lens, gas permeable, extended wear, per lens |
| V2523 | Contact lens, hydrophilic, extended wear, per lens |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
| C9486 | Injection, granisetron extended release, 0.1 mg |
| A4388 | Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
| A4435 | Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each |
| A5056 | Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
| L3470 | Heel, thomas extended to ball |
| C9016 | Injection, triptorelin extended release, 3.75 mg |
| A4428 | Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each |
| A4430 | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
