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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
14789-0108-05	J3480	INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ	POTASSIUM CHLORIDE (LATEX-FREE) 10 MEQ/50 ML	IV
14789-0108-10	J3480	INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ	POTASSIUM CHLORIDE (LATEX-FREE) 20 MEQ/100 ML	IV
25021-0612-81	J3475	INJECTION, MAGNESIUM SULFATE, PER 500 MG	MAGNESIUM SULFATE (10X50ML;SINGLE-DOSE,PF) 40 MG/1 ML	IV
25021-0612-82	J3475	INJECTION, MAGNESIUM SULFATE, PER 500 MG	MAGNESIUM SULFATE (10X100ML;SINGLE-DOSE,PF) 40 MG/1 ML	IV
25021-0675-10	J2800	INJECTION, METHOCARBAMOL, UP TO 10 ML	METHOCARBAMOL (LATEX-FREE) 100 MG/1 ML	IJ
25021-0676-20	J2515	INJECTION, PENTOBARBITAL SODIUM, PER 50 MG	PENTOBARBITAL SODIUM (MDV,PF,LATEX-FREE) 50 MG/1 ML	IJ
25021-0676-50	J2515	INJECTION, PENTOBARBITAL SODIUM, PER 50 MG	PENTOBARBITAL SODIUM (MDV,PF,LATEX-FREE) 50 MG/1 ML	IJ
25021-0677-10	J0330	INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG	SUCCINYLCHOLINE CHLORIDE (MDV,LATEX-FREE) 20 MG/1 ML	IJ
25021-0678-20	J0475	INJECTION, BACLOFEN, 10 MG	BACLOFEN (PF,LATEX-FREE) 0.5 MG/1 ML	IN
25021-0679-20	J0475	INJECTION, BACLOFEN, 10 MG	BACLOFEN (PF,LATEX-FREE) 2 MG/1 ML	IN
25021-0680-20	J0475	INJECTION, BACLOFEN, 10 MG	BACLOFEN (PF,LATEX-FREE) 1 MG/1 ML	IN
25021-0681-71	J0476	INJECTION, BACLOFEN, 50 MCG FOR INTRATHECAL TRIAL	BACLOFEN (PF,LATEX-FREE) 0.05 MG/1 ML	IN

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