WELCOME

NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
54868-0218-03	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE 4 MG	PO
54868-0218-04	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE 4 MG	PO
54868-0218-05	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE 4 MG	PO
54868-0218-06	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE 4 MG	PO
54868-0218-07	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE 4 MG	PO
54868-0218-08	J8540	DEXAMETHASONE, ORAL, 0.25 MG	DEXAMETHASONE (USP) 4 MG	PO
50242-0100-39	J7639	DORNASE ALPHA, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM	PULMOZYME (AMP,INNER NDC) 2.5 MG/2.5 ML	IH
50242-0100-39	J7639	DORNASE ALPHA, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM	PULMOZYME (AMP,INNER NDC) 2.5 MG/2.5 ML	IH
50242-0100-40	J7639	DORNASE ALPHA, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM	PULMOZYME (AMP) 2.5 MG/2.5 ML	IH
50242-0100-40	J7639	DORNASE ALPHA, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM	PULMOZYME (AMP) 2.5 MG/2.5 ML	IH
50242-0103-01	J9309	INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG	POLIVY (SDV,PF,LATEX-FREE) 30 MG	IV
50242-0105-01	J9309	INJECTION, POLATUZUMAB VEDOTIN-PIIQ, 1 MG	POLIVY (PF,LATEX-FREE) 140 MG	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