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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
68382-0751-67	None	TEMOZOLOMIDE, 5 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 5 MG	PO
68382-0751-96	None	TEMOZOLOMIDE, 5 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 5 MG	PO
68382-0752-67	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 20 MG	PO
68382-0752-96	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 20 MG	PO
68382-0753-67	None	TEMOZOLOMIDE, 100 MG, ORAL	TEMOZOLOMIDE 100 MG	PO
68382-0753-96	None	TEMOZOLOMIDE, 100 MG, ORAL	TEMOZOLOMIDE 100 MG	PO
68382-0754-67	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 140 MG	PO
68382-0754-96	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 140 MG	PO
68382-0755-67	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 180 MG	PO
68382-0755-96	None	TEMOZOLOMIDE, 20 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 180 MG	PO
68382-0756-96	None	TEMOZOLOMIDE, 250 MG, ORAL	TEMOZOLOMIDE (HARD GELATIN) 250 MG	PO
68382-0775-01	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE (USP) 2.5 MG	PO

HCPCS Code	Description	Billing Unit	SA Type
E0720 RR	TENS Units	Day	N
E0730	TENS, Four or more Leads, Multiple Nerve Stimulation	Each	Y
E0730 RR	TENS, Four or more Leads, Multiple Nerve Stimulation	Day	Y
E0740	Non-implanted pelvic floor electrical stimulator, complete system	Each	Y
E0740 RR	Non-implanted pelvic floor electrical stimulator, complete system	Day	Y
E0745	Neuromuscular Stimulator, Electronic Shock Unit	Each	Y
E0745 RR	Neuromuscular Stimulator, Electronic Shock Unit	Day	N
A4490	Surgical Stockings, above knee length, each	Each	N
A4495	Surgical Stockings, thigh length, each	Each	N
A4500	Surgical Stockings, below knee length, each	Each	N
A4510	Surgical stocking full-length, each	Each	N
A6530	Gradient compression stocking, below knee, 18-30 mmHg, each	Each	Y