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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
25021-0828-50	J0640	INJECTION, LEUCOVORIN CALCIUM, PER 50 MG	LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 500 MG	IJ
25021-0831-01	J1631	INJECTION, HALOPERIDOL DECANOATE, PER 50 MG	HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 50 MG/1 ML	IM
25021-0833-01	J1631	INJECTION, HALOPERIDOL DECANOATE, PER 50 MG	HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 100 MG/1 ML	IM
25021-0834-05	J1631	INJECTION, HALOPERIDOL DECANOATE, PER 50 MG	HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 100 MG/1 ML	IM
25208-0001-04	J3246	INJECTION, TIROFIBAN HCL, 0.25MG	AGGRASTAT (PF) 0.25 MG/1 ML	IV
25208-0002-01	J3246	INJECTION, TIROFIBAN HCL, 0.25MG	AGGRASTAT (1X100ML) 0.05 MG/ML	IV
25208-0002-02	J3246	INJECTION, TIROFIBAN HCL, 0.25MG	AGGRASTAT (1X250ML) 0.05 MG/ML	IV
25208-0002-03	J3246	INJECTION, TIROFIBAN HCL, 0.25MG	AGGRASTAT (1X100ML) 0.05 MG/1 ML	IV
25332-0004-30	J3420	INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG	COBOLIN-M (VIAL) 1000 MCG/ML	IM
25332-0078-10	J3420	INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG	DEPO-COBOLIN (VIAL) 1000 MCG/ML	IM
25682-0001-01	J1300	INJECTION, ECULIZUMAB, 10 MG	SOLIRIS (PF) 10 MG/ML	IV
25682-0022-01	J1303	INJECTION, RAVULIZUMAB-CWVZ, 10 MG	ULTOMIRIS (SDV,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