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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
31722-0963-32	J0500	INJECTION, DICYCLOMINE HCL, UP TO 20 MG	DICYCLOMINE HCL (USP, SDV) 10 MG/1 ML	IM
31722-0981-10	J0330	INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG	SUCCINYLCHOLINE CHLORIDE (1X10ML;MDV;USP) 20 MG/1 ML	IJ
31722-0981-31	J0330	INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG	SUCCINYLCHOLINE CHLORIDE (25X10ML;MDV;USP) 20 MG/1 ML	IJ
31722-0995-10	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (1X10ML;MDV;USP) 1 MG/1 ML	IV
31722-0995-31	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (10X10ML;USP,LATEX-FREE) 1 MG/1 ML	IV
33261-0335-21	J7509	METHYLPREDNISOLONE ORAL, PER 4 MG	METHYLPREDNISOLONE (DOSE PACK) 4 MG	PO
33261-0759-20	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE 2.5 MG	PO
33261-0759-30	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE 2.5 MG	PO
33261-0759-40	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE 2.5 MG	PO
33261-0759-60	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE 2.5 MG	PO
45963-0619-59	J9201	INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG	GEMCITABINE (SDV, USP,PF,LYOPHILIZED) 1 GM	IV
45963-0620-60	J9201	INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG	GEMCITABINE HCL (PF,LATEX-FREE) 2 GM	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