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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
42658-0021-91	J9150	INJECTION, DAUNORUBICIN, 10 MG	DAUNORUBICIN HCL NOVAPLUS (SDV,PF) 5 MG/1 ML	IV
42658-0021-92	J9150	INJECTION, DAUNORUBICIN, 10 MG	DAUNORUBICIN HCL NOVAPLUS (SDV,PF) 5 MG/1 ML	IV
42747-0102-01	J0584	INJECTION, BUROSUMAB-TWZA 1 MG	CRYSVITA (SDV,PF) 10 MG/1 ML	SC
42747-0203-01	J0584	INJECTION, BUROSUMAB-TWZA 1 MG	CRYSVITA (SDV,PF) 20 MG/1 ML	SC
42747-0304-01	J0584	INJECTION, BUROSUMAB-TWZA 1 MG	CRYSVITA (SDV,PF) 30 MG/1 ML	SC
42747-0761-01	J9204	INJECTION, MOGAMULIZUMAB-KPKC, 1 MG	POTELIGEO (PF) 4 MG/1 ML	IV
42799-0813-01	J7510	PREDNISOLONE ORAL, PER 5 MG	PREDNISOLONE SODIUM PHOSPHATE (AF,DYE-FREE,GRAPE) 20 MG/5 ML	PO
42799-0815-01	J7510	PREDNISOLONE ORAL, PER 5 MG	PREDNISOLONE SODIUM PHOSPHATE (AF,DYE-FREE,GRAPE) 15 MG/5 ML	PO
42806-0147-31	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (BANANA-CHERRY) 100 MG/5 ML	PO
42806-0149-32	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (BANANA-CHERRY) 200 MG/5 ML	PO
42806-0150-33	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (BANANA-CHERRY) 200 MG/5 ML	PO
42806-0151-34	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (BANANA-CHERRY) 200 MG/5 ML	PO

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