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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
16714-0857-01	J9070	CYCLOPHOSPHAMIDE, 100 MG	CYCLOPHOSPHAMIDE 1 GM	IV
16714-0858-01	J9070	CYCLOPHOSPHAMIDE, 100 MG	CYCLOPHOSPHAMIDE 2 GM	IV
16714-0859-01	J9070	CYCLOPHOSPHAMIDE, 100 MG	CYCLOPHOSPHAMIDE 500 MG	IV
16714-0886-01	J9040	INJECTION, BLEOMYCIN SULFATE, 15 UNITS	BLEOMYCIN (SDV,PF,LATEX-FREE) 15 U	IJ
16714-0889-10	J1335	INJECTION, ERTAPENEM SODIUM, 500 MG	ERTAPENEM (SDV,LYOPHILIZED) 1 GM	IJ
16714-0890-01	J0641	INJECTION, LEVOLEUCOVORIN, NOT OTHERWISE SPECIFIED, 0.5MG	LEVOLEUCOVORIN CALCIUM (PF) 10 MG/1 ML	IV
16714-0892-01	J0878	INJECTION, DAPTOMYCIN, 1 MG	DAPTOMYCIN (PF,LYOPHILIZED) 500 MG	IV
16714-0906-25	J7643	GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM	GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML	IJ
16714-0906-25	J7643	GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM	GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML	IJ
16714-0908-01	J9040	INJECTION, BLEOMYCIN SULFATE, 15 UNITS	BLEOMYCIN (SDV,PF,LATEX-FREE) 30 U	IJ
16714-0909-01	J9201	INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG	GEMCITABINE (PF,LATEX-FREE) 200 MG	IV
16714-0915-01	J0641	INJECTION, LEVOLEUCOVORIN, NOT OTHERWISE SPECIFIED, 0.5MG	LEVOLEUCOVORIN CALCIUM (PF) 10 MG/1 ML	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