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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
17271-0701-02	J7040	INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT)	BD SODIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 0.9%	IV
17271-0701-03	J7040	INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)	BD SODIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 0.9%	IV
17271-0701-05	J7040	INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)	BD SODIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 0.9%	IV
17271-0701-06	J7040	INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)	BD SODIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 0.9%	IV
17271-0701-07	J7040	INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML=1 UNIT)	BD SODIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 0.9%	IV
23155-0196-43	J2405	INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG	ONDANSETRON 2 MG/ML	IJ
23155-0229-01	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	ACYCLOVIR 200 MG	PO
23155-0229-05	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	ACYCLOVIR 200 MG	PO
23155-0258-31	J0153	INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)	ADENOSINE (SDV,PF,LATEX-FREE) 3 MG/1 ML	IV
23155-0258-32	J0153	INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)	ADENOSINE (SDV,PF,LATEX-FREE) 3 MG/1 ML	IV
23155-0294-41	J0780	INJECTION, PROCHLORPERAZINE, UP TO 10 MG	PROCHLORPERAZINE EDISYLATE 5 MG/1 ML	IJ
23155-0313-31	J1120	INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG	ACETAZOLAMIDE (USP,PF,LATEX-FREE) 500 MG	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