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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
55292-0702-54	J1640	INJECTION, HEMIN, 1 MG	PANHEMATIN (PF,LYOPHIIZED) 350 MG	IV
55292-0702-55	J1640	INJECTION, HEMIN, 1 MG	PANHEMATIN (PF,LYOPHIIZED) 350 MG	IV
55390-0003-10	J1800	INJECTION, PROPRANOLOL HCL, UP TO 1 MG	PROPRANOLOL HCL (S.D.V.) 1 MG/ML	IV
55390-0012-01	J1450	INJECTION FLUCONAZOLE, 200 MG	FLUCONAZOLE 200 MG/100 ML	IV
55390-0013-10	J1110	INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG	DIHYDROERGOTAMINE MESYLATE (VIAL) 1 MG/ML	IJ
55390-0029-10	J3490	UNCLASSIFIED DRUGS	FAMOTIDINE (S.D.V.,PF) 10 MG/ML	IV
55390-0046-01	J1450	INJECTION FLUCONAZOLE, 200 MG	FLUCONAZOLE 400 MG/200 ML	IV
55390-0067-10	J0153	INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)	ADENOSINE (S.D.V.,PF) 3 MG/ML	IV
55390-0077-10	J0780	INJECTION, PROCHLORPERAZINE, UP TO 10 MG	PROCHLORPERAZINE EDISYLATE (U.S.P.,M.D.V.) 5 MG/ML	IJ
55390-0101-10	J3105	INJECTION, TERBUTALINE SULFATE, UP TO 1 MG	TERBUTALINE SULFATE 1 MG/ML	SC
55390-0123-01	J3490	UNCLASSIFIED DRUGS	RIFAMPIN (VIAL,30 ML) 600 MG	IV
55390-0125-10	J2250	INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG	MIDAZOLAM HCL (VIAL,PF) 1 MG/ML	IJ

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