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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
66794-0222-41	J0290	INJECTION, AMPICILLIN SODIUM, 500 MG	AMPICILLIN (USP,PF,LATEX-FREE) 1 GM	IJ
66794-0223-41	J0290	INJECTION, AMPICILLIN SODIUM, 500 MG	AMPICILLIN (PF,LATEX-FREE) 2 GM	IJ
66794-0224-15	J0290	INJECTION, AMPICILLIN SODIUM, 500 MG	AMPICILLIN (PHARMACY BULK,PF) 10 GM	IV
66794-0226-41	J2700	INJECTION, OXACILLIN SODIUM, UP TO 250 MG	OXACILLIN (10X2GM;USP) 2 GM	IJ
66794-0227-41	J2700	INJECTION, OXACILLIN SODIUM, UP TO 250 MG	OXACILLIN (USP) 10 GM	IV
66794-0232-42	J0330	INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG	SUCCINYLCHOLINE CHLORIDE (MDV;USP,LATEX-FREE) 20 MG/1 ML	IJ
66794-0236-43	J2020	INJECTION, LINEZOLID, 200 MG	LINEZOLID NOVAPLUS (LATEX-FREE) 600 MG/300 ML	IV
66794-0237-41	J3490	UNCLASSIFIED DRUGS	DOXYCYCLINE (PF,LYOPHILIZED) 100 MG	IV
66794-0242-41	J0295	INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM	AMPICILLIN-SULBACTAM NOVALUS (PF,LATEX-FREE) 2 GM-1 GM	IJ
66794-0243-15	J0295	INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM	AMPICILLIN-SULBACTAM NOVALUS (PHARMACY BULK,USP,PF) 10 GM-5 GM	IV
70436-0022-82	J3370	INJECTION, VANCOMYCIN HCL, 500 MG	VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM	IV
70436-0023-82	J3370	INJECTION, VANCOMYCIN HCL, 500 MG	VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 10 GM	IV

HCPCS Code	Description	Billing Unit	SA Type
E1399	Central Venous Catheter (CVC) Dressing Kit	Each	Y
E1399	Click Lock Extension Set IV tubing extension set	Each	Y
E1399	Click Lock Injection Cap	Each	Y
E1399	Click Lock Needle Housing W/Needle	Each	Y
E1399	Click Lock Replacement Needles	Each	Y
E1399	Click-Lock Needle Housing (Houses Needle Cap)	Each	Y
E1399	Clysis Set	Each	Y
E1399	Double Female Adapter	Each	Y
E1399	Enteral Irrigation Adapter	Each	Y
E1399	Filter Add-On (For Parenteral Infusion Air Elimination Size 0.22)	Each	Y
E1399	Filter Add-On For Parenteral Infusion Tubing, Size1.2	Each	Y
E1399	Heparin Lock Injection, heparin sodium, (heparin lock flush), per 10 units	Each	Y