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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
60977-0141-01	J2730	INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM	PROTOPAM CHLORIDE (S.D.V.) 1 GM	IJ
60977-0141-27	J2730	INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GM	PROTOPAM CHLORIDE 1 GM	IJ
60977-0150-71	J2800	INJECTION, METHOCARBAMOL, UP TO 10 ML	ROBAXIN (SDV) 100 MG/ML	IJ
61269-0402-60	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	DROXIA 200 MG	PO
61269-0403-60	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	DROXIA 300 MG	PO
61269-0404-60	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	DROXIA 400 MG	PO
61269-0410-20	J9181	INJECTION, ETOPOSIDE, 10 MG	ETOPOPHOS (PF,LYOPHILIZED) 100 MG	IV
61269-0450-20	J1570	INJECTION, GANCICLOVIR SODIUM, 500 MG	CYTOVENE IV (LYOPHILIZED) 500 MG	IV
61269-0470-60	None	CAPECITABINE, 150 MG, ORAL	XELODA (FILM-COATED) 150 MG	PO
61269-0475-12	None	CAPECITABINE, 500 MG, ORAL	XELODA (FILM-COATED) 500 MG	PO
61269-0480-60	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	VALCYTE 450 MG	PO
61269-0835-10	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	HYDREA 500 MG	PO

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