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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
51552-1045-09	J3420	INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG	CYANOCOBALAMIN (1X500MG,USP)	NA
51552-1053-06	J1212	INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML	DIMETHYLSULFOXIDE	NA
51552-1069-02	J2460	INJECTION, OXYTETRACYCLINE HCL, UP TO 50 MG	OXYTETRACYCLINE HCL (U.S.P.)	NA
51672-4091-03	Q0162	ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN	ONDANSETRON HYDROCHLORIDE (1x50ML) 4MG/5ML	PO
51672-4200-03	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (USP) 200 MG/5 ML	PO
51672-4200-05	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (USP) 200 MG/5 ML	PO
51672-4200-07	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (USP) 200 MG/5 ML	PO
51754-1000-04	J3475	INJECTION, MAGNESIUM SULFATE, PER 500 MG	MAGNESIUM SULFATE (SDV,PF) 500 MG/1 ML	IJ
51754-1210-03	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	BLOXIVERZ (MULTIPLE DOSE 10X10) 0.5 MG/1 ML	IV
51754-1220-03	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	BLOXIVERZ (MULTIPLE DOSE 10X10) 1 MG/1 ML	IV
51754-1240-03	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	BLOXIVERZ NOVAPLUS (10X10ML;MDV,LATEX-FREE) 1 MG/1 ML	IV
51754-2500-03	J1570	INJECTION, GANCICLOVIR SODIUM, 500 MG	GANCICLOVIR-SODIUM CHLORIDE (PF) 500 MG/250 ML-0.8%	IV

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