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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
38779-0165-04	J3490	UNCLASSIFIED DRUGS	TESTOSTERONE PROPIONATE (USP,MICRONIZED)	NA
38779-0165-05	J3490	UNCLASSIFIED DRUGS	TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)	NA
38779-0165-08	J3490	UNCLASSIFIED DRUGS	TESTOSTERONE PROPIONATE (U.S.P.,MICRONIZED)	NA
38779-0166-03	J3302	INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG	TRIAMCINOLONE DIACETATE (USP)	NA
38779-0166-04	J3302	INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG	TRIAMCINOLONE DIACETATE (USP)	NA
38779-0166-05	J3302	INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG	TRIAMCINOLONE DIACETATE (USP)	NA
38779-0173-01	J0133	INJECTION, ACYCLOVIR, 5 MG	ACYCLOVIR (U.S.P.)	NA
38779-0173-04	J0133	INJECTION, ACYCLOVIR, 5 MG	ACYCLOVIR (U.S.P.)	NA
38779-0173-05	J0133	INJECTION, ACYCLOVIR, 5 MG	ACYCLOVIR (U.S.P.)	NA
38779-0173-08	J0133	INJECTION, ACYCLOVIR, 5 MG	ACYCLOVIR (U.S.P.)	NA
38779-0180-04	Q0164	PROCHLORPERAZINE MALEATE, 5 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	PROCHLORPERAZINE MALEATE (U.S.P.)	NA
38779-0180-05	Q0164	PROCHLORPERAZINE MALEATE, 5 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	PROCHLORPERAZINE MALEATE (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