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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
54288-0120-01	J0171	INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG	EPINEPHRINE 1 MG/1 ML	IJ
54288-0135-01	J7507	TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG	TACROLIMUS 1 MG	PO
54288-0136-10	J2560	INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG	PHENOBARBITAL SODIUM (PF) 65 MG/1 ML	IJ
54288-0136-25	J2560	INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG	PHENOBARBITAL SODIUM (PF) 65 MG/1 ML	IJ
54288-0137-10	J2560	INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG	PHENOBARBITAL SODIUM (PF) 130 MG/1 ML	IJ
54288-0137-25	J2560	INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG	PHENOBARBITAL SODIUM (PF) 130 MG/1 ML	IJ
54288-0142-10	J2440	INJECTION, PAPAVERINE HCL, UP TO 60 MG	PAPAVERINE HCL 30 MG/1 ML	IJ
54288-0600-01	J0171	INJECTION, ADRENALIN, EPINEPHRINE, 0.1 MG	EPINEPHRINE NOVAPLUS 1 MG/1 ML	IJ
50242-0134-68	J9355	INJECTION, TRASTUZUMAB, EXCLUDES BIOSIMILAR, 10 MG	HERCEPTIN (M.D.V.,W/DILUENT 20ML) 440 MG	IV
50242-0140-01	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	ERIVEDGE 150 MG	PO
50242-0142-01	J9350	INJECTION, MOSUNETUZUMAB-AXGB, 1 MG	LUNSUMIO (SDV,PF) 1 MG/1 ML	IV
50242-0150-01	J2350	INJECTION, OCRELIZUMAB, 1 MG	OCREVUS (SDV,PF) 30 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