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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
54868-1729-00	J1000	INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG	DEPO-ESTRADIOL (VIAL) 5 MG/ML	IM
54868-1744-00	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE 1.5 MG	PO
54868-1795-00	J2001	INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG	XYLOCAINE (M.D.V.) 1%	EP
54868-1798-01	J2001	INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG	XYLOCAINE (M.D.V.) 2%	IJ
54868-1867-00	Q0169	PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN	PROMETHAZINE HCL 6.25 MG/5 ML	PO
51991-0821-28	J7527	EVEROLIMUS, ORAL, 0. 25 MG	EVEROLIMUS (4X7) 2.5 MG	PO
51991-0822-28	J7527	EVEROLIMUS, ORAL, 0. 25 MG	EVEROLIMUS (4X7) 5 MG	PO
51991-0823-28	J7527	EVEROLIMUS, ORAL, 0. 25 MG	EVEROLIMUS (4X7) 7.5 MG	PO
51991-0922-98	J9263	INJECTION, OXALIPLATIN, 0.5 MG	OXALIPLATIN (PF,LATEX-FREE) 5 MG/1 ML	IV
51991-0923-98	J9263	INJECTION, OXALIPLATIN, 0.5 MG	OXALIPLATIN (PF,LATEX-FREE) 5 MG/1 ML	IV
51991-0933-17	J1630	INJECTION, HALOPERIDOL, UP TO 5 MG	HALOPERIDOL (10X1ML) 5 MG/1 ML	IM
51991-0936-98	J9267	INJECTION, PACLITAXEL, 1 MG	PACLITAXEL (MDV) 6 MG/1 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