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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
39822-0710-01	J1451	INJECTION, FOMEPIZOLE, 15 MG	FOMEPIZOLE (1X1.5ML,PF) 1 GM/ML	IV
39822-1055-05	J0285	INJECTION, AMPHOTERICIN B, 50 MG	AMPHOTERICIN B (STERILE) 50 MG	IV
39822-2100-02	J9120	INJECTION, DACTINOMYCIN, 0.5 MG	DACTINOMYCIN (SDV,LYOPHILIZED) 0.5 MG	IV
39822-2120-01	J9171	INJECTION, DOCETAXEL, 1 MG	DOCETAXEL (SDV) 20 MG/1 ML	IV
39822-2180-01	J9171	INJECTION, DOCETAXEL, 1 MG	DOCETAXEL (SDV) 20 MG/1 ML	IV
39822-2200-01	J9171	INJECTION, DOCETAXEL, 1 MG	DOCETAXEL (SDV) 20 MG/1 ML	IV
39822-5525-03	J2550	INJECTION, PROMETHAZINE HCL, UP TO 50 MG	PROMETHAZINE HCL (25X1ML,USP) 25 MG/1 ML	IJ
39822-5550-06	J2550	INJECTION, PROMETHAZINE HCL, UP TO 50 MG	PROMETHAZINE HCL (25X1ML,USP) 50 MG/1 ML	IJ
42023-0110-01	J1380	INJECTION, ESTRADIOL VALERATE, UP TO 10 MG	DELESTROGEN (1X5ML,MULTIDOSE) 10 MG/ML	IM
42023-0116-01	J2590	INJECTION, OXYTOCIN, UP TO 10 UNITS	PITOCIN (1X10ML,MDV) 10 U/ML	IJ
38779-0303-03	J1110	INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG	DIHYDROERGOTAMINE MESYLATE (U.S.P.)	NA
38779-0303-06	J1110	INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG	DIHYDROERGOTAMINE MESYLATE (U.S.P.)	NA

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