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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
38779-0042-05	J2460	INJECTION, OXYTETRACYCLINE HCL, UP TO 50 MG	OXYTETRACYCLINE HCL (U.S.P.)	NA
38779-0043-01	J2675	INJECTION, PROGESTERONE, PER 50 MG	PROGESTERONE (U.S.P.,MICRONIZED)	NA
38779-0043-04	J2675	INJECTION, PROGESTERONE, PER 50 MG	PROGESTERONE (U.S.P.,MICRONIZED)	NA
50962-0650-01	A4216	STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML	SODIUM CHLORIDE (INHALATION) 0.9%	IH
51079-0028-20	J7507	TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG	TACROLIMUS (10X10,HARD GELATIN) 5 MG	PO
51079-0066-20	Q0163	DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN	DIPHENHYDRAMINE HCL (10X10) 50 MG	PO
38779-0989-04	J3490	UNCLASSIFIED DRUGS	AMINOCAPROIC ACID (U.S.P.)	NA
38779-0989-05	J3490	UNCLASSIFIED DRUGS	AMINOCAPROIC ACID (U.S.P.)	NA
38779-0989-08	J3490	UNCLASSIFIED DRUGS	AMINOCAPROIC ACID (U.S.P.)	NA
38779-0989-09	J3490	UNCLASSIFIED DRUGS	AMINOCAPROIC ACID (U.S.P.)	NA
38779-1502-00	J2760	INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG	PHENTOLAMINE MESYLATE (U.S.P.)	NA
38779-1502-03	J2760	INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG	PHENTOLAMINE 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