WELCOME

NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
59353-0220-01	Q5106	INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS	RETACRIT 10000 U/1 ML	IJ
59353-0220-10	Q5106	INJECTION, EPOETIN ALFA-EPBX, BIOSIMILAR, (RETACRIT) (FOR NON-ESRD USE), 1000 UNITS	RETACRIT 10000 U/1 ML	IJ
59572-0984-01	J9315	INJECTION, ROMIDEPSIN, 1 MG	ISTODAX (W/DILUENT) 10 MG	IV
59572-0984-01	J9319	INJECTION, ROMIDEPSIN, LYOPHILIZED, 0.1 MG	ISTODAX (W/DILUENT) 10 MG	IV
59627-0111-03	J1826	INJECTION, INTERFERON BETA-1A, 30 MCG	AVONEX (4 DOSE PACKS; S.D.V.) 30 MCG	IM
59627-0222-05	J1826	INJECTION, INTERFERON BETA-1A, 30 MCG	AVONEX (4 DOSE PACKS) 30 MCG/0.5 ML	MR
59627-0333-04	J1826	INJECTION, INTERFERON BETA-1A, 30 MCG	AVONEX PEN (SINGLE USE,25G,5/8") 30 MCG/0.5 ML	MR
59651-0007-15	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (CHERRY BANANA) 100 MG/5 ML	PO
59651-0008-15	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (CHERRY BANANA) 200 MG/5 ML	PO
59651-0008-23	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (CHERRY BANANA) 200 MG/5 ML	PO
59651-0008-30	Q0144	AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM	AZITHROMYCIN (CHERRY BANANA) 200 MG/5 ML	PO
59651-0182-01	None	METHOTREXATE, 2.5 MG, ORAL	METHOTREXATE 2.5 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