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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
62991-1707-05	J1071	INJECTION, TESTOSTERONE CYPIONATE, 1 MG	TESTOSTERONE CYPIONATE (U.S.P.)	NA
62991-2002-01	J0278	INJECTION, AMIKACIN SULFATE, 100 MG	AMIKACIN SULFATE (U.S.P.)	NA
63323-0121-40	J9250	METHOTREXATE SODIUM, 5 MG	METHOTREXATE SODIUM (VIAL,PF) 25 MG/ML	IJ
63323-0122-50	J9260	METHOTREXATE SODIUM, 50 MG	METHOTREXATE SODIUM (S.D.V.,PF) 1 GM	IJ
63323-0123-02	J9250	METHOTREXATE SODIUM, 5 MG	METHOTREXATE SODIUM (VIAL) 25 MG/ML	IJ
63323-0123-10	J9250	METHOTREXATE SODIUM, 5 MG	METHOTREXATE SODIUM (VIAL) 25 MG/ML	IJ
63323-0127-10	J9130	DACARBAZINE, 100 MG	DACARBAZINE (S.D.V.) 100 MG	IV
63323-0130-11	J3490	UNCLASSIFIED DRUGS	DOXY 100 (VIAL,PF) 100 MG	IV
63323-0132-10	J9293	INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG	MITOXANTRONE (USP,PF,LATEX-FREE) 2 MG/ML	IV
63323-0132-12	J9293	INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG	MITOXANTRONE (USP,PF,LATEX-FREE) 2 MG/ML	IV
63323-0132-15	J9293	INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG	MITOXANTRONE (USP,PF,LATEX-FREE) 2 MG/ML	IV
63323-0134-10	J9305	INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG	PEMETREXED (SDV,PF,LATEX-FREE) 100 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