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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
16714-0765-01	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG	PO
16714-0777-01	J9025	INJECTION, AZACITIDINE, 1 MG	AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG	IJ
36000-0282-25	J1940	INJECTION, FUROSEMIDE, UP TO 20 MG	FUROSEMIDE (SDV) 10 MG/ML	IJ
36000-0283-25	J1940	INJECTION, FUROSEMIDE, UP TO 20 MG	FUROSEMIDE (SDV) 10 MG/ML	IJ
36000-0284-25	J1940	INJECTION, FUROSEMIDE, UP TO 20 MG	FUROSEMIDE (SDV) 10 MG/ML	IJ
36000-0294-24	J1956	INJECTION, LEVOFLOXACIN, 250 MG	PREMIERPRO RX LEVOFLOXACIN IN 5% DEXTROSE (PF,LATEX-FREE) 5%-250 MG/50 ML	IV
36000-0295-24	J1956	INJECTION, LEVOFLOXACIN, 250 MG	PREMIERPRO RX LEVOFLOXACIN IN 5% DEXTROSE (PF,LATEX-FREE) 5%-500 MG/100 ML	IV
36000-0296-24	J1956	INJECTION, LEVOFLOXACIN, 250 MG	PREMIERPRO RX LEVOFLOXACIN IN 5% DEXTROSE (PF,LATEX-FREE) 5%-750 MG/150 ML	IV
36000-0297-24	J0744	INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG	CIPROFLOXACIN IN DEXTROSE NOVAPLUS (24X100ML,SINGLE DOSE) 200 MG/100 ML	IV
36000-0298-24	J0744	INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG	CIPROFLOXACIN IN DEXTROSE NOVAPLUS (24X200ML,LATEX-FREE) 400 MG/200 ML	IV
36000-0308-10	J2310	INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG	NALOXONE HCL (10X1ML;SDV,PF) 0.4 MG/1 ML	IJ
36000-0310-02	J2310	INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG	NALOXONE HCL (1X10ML;MDV) 0.4 MG/1 ML	IJ

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