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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
61703-0124-40	J9250	METHOTREXATE SODIUM, 5 MG	PREMIERPRO RX METHOTREXATE (SDV,PF,LATEX-FREE) 25 MG/1 ML	IJ
61703-0150-05	J9045	INJECTION, CARBOPLATIN, 50 MG	CARBOPLATIN NOVAPLUS (MDV,PF,LATEX-FREE) 10 MG/1 ML	IV
61703-0245-22	J2405	INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG	ONDANSETRON (M.D.V.,USP) 2 MG/ML	IJ
61703-0262-05	J9045	INJECTION, CARBOPLATIN, 50 MG	CARBOPLATIN NOVAPLUS (MDV,PF,LATEX-FREE) 10 MG/1 ML	IV
61703-0305-38	J9100	INJECTION, CYTARABINE, 100 MG	CYTARABINE (S.D.V. X 5,PF) 20 MG/ML	IJ
61703-0309-06	J9370	VINCRISTINE SULFATE, 1 MG	VINCRISTINE SULFATE (S.D.V.,PF) 1 MG/ML	IV
61703-0309-16	J9370	VINCRISTINE SULFATE, 1 MG	VINCRISTINE SULFATE (S.D.V.,PF) 1 MG/ML	IV
61703-0317-45	J0595	INJECTION, BUTORPHANOL TARTRATE, 1 MG	BUTORPHANOL TARTRATE (S.D.V.) 1 MG/ML	IJ
61703-0318-45	J0595	INJECTION, BUTORPHANOL TARTRATE, 1 MG	BUTORPHANOL TARTRATE (S.D.V.) 2 MG/ML	IJ
61703-0323-22	J9040	INJECTION, BLEOMYCIN SULFATE, 15 UNITS	BLEOMYCIN SULFATE 30 U	IJ
61703-0324-18	J2430	INJECTION, PAMIDRONATE DISODIUM, PER 30 MG	PAMIDRONATE DISODIUM (SDV) 3 MG/ML	IV
61703-0325-18	J2430	INJECTION, PAMIDRONATE DISODIUM, PER 30 MG	PAMIDRONATE DISODIUM (PF) 6 MG/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