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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
49999-0110-12	J7512	PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG	PREDNISONE 20 MG	PO
49999-0110-14	J7512	PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG	PREDNISONE 20 MG	PO
49999-0153-21	J7509	METHYLPREDNISOLONE ORAL, PER 4 MG	METHYLPREDNISOLONE 4 MG	PO
49999-0231-35	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	ACYCLOVIR 800 MG	PO
50090-0294-09	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE SODIUM 2.5 MG	PO
50090-2345-09	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE SODIUM 2.5 MG	PO
50090-3418-02	None	METHOTREXATE,2.5 MG, ORAL	METHOTREXATE SODIUM 2.5 MG	PO
50090-3418-09	None	METHOTREXATE,2.5 MG, ORAL	METHOTREXATE SODIUM 2.5 MG	PO
50102-0591-40	J1050	INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG	MEDROXYPROGESTERONE ACETATE (SINGLE DOSE;USP) 150 MG/1 ML	IM
50111-0787-66	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (6X3,FILM-COATED) 250 MG	PO
50111-0788-10	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (FILM-COATED) 500 MG	PO
50242-0040-62	J2357	INJECTION, OMALIZUMAB, 5 MG	XOLAIR 150 MG	SC

HCPCS Code	Description	Billing Unit	SA Type
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	Each	N
A7006	Administration set, with small volume filter pneumatic nebulizer	Each	N
A7007	Large voume nebulizer, disposable, unfilled, used with aerosol compressor	Each	N
A7008	Large volume nebulizer, disposable, Prefilled, used with aerosol compressor	Each	N