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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
55150-0329-25	J1050	INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG	MEDROXYPROGESTERONE ACETATE (25X1ML,SDV,PF) 150 MG/1 ML	IM
55150-0330-01	J1050	INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG	MEDROXYPROGESTERONE ACETATE (1X1ML,SDS,PF,LATEX-FREE) 150 MG/1 ML	IM
55150-0331-01	J9263	INJECTION, OXALIPLATIN, 0.5 MG	OXALIPLATIN (SDV,PF,LATEX-FREE) 5 MG/1 ML	IV
55150-0332-01	J9263	INJECTION, OXALIPLATIN, 0.5 MG	OXALIPLATIN (SDV,PF,LATEX-FREE) 5 MG/1 ML	IV
55150-0335-01	J9045	INJECTION, CARBOPLATIN, 50 MG	CARBOPLATIN (MDV,PF,LATEX-FREE) 10 MG/1 ML	IV
55150-0337-01	J9041	INJECTION, BORTEZOMIB, 0.1 MG	BORTEZOMIB (SDV,LATEX-FREE) 3.5 MG	IJ
55150-0337-01	J9044	INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG	BORTEZOMIB (SDV,LATEX-FREE) 3.5 MG	IJ
55150-0344-01	J0878	INJECTION, DAPTOMYCIN, 1 MG	DAPTOMYCIN (SDV,PF,LATEX-FREE) 500 MG	IV
55150-0352-01	J9206	INJECTION, IRINOTECAN, 20 MG	IRINOTECAN HYDROCHLORIDE (SDV;USP,PF,LATEX-FREE) 20 MG/1 ML	IV
58864-0424-20	J7512	PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG	PREDNISONE (REDI-SCRIPT) 20 MG	PO
58864-0424-30	J7512	PREDNISONE, IMMEDIATE RELEASE OR DELAYED RELEASE, ORAL, 1 MG	PREDNISONE 20 MG	PO
58864-0602-01	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	ACYCLOVIR (REDI-SCRIPT) 400 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