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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
50242-0040-86	J2357	INJECTION, OMALIZUMAB, 5 MG	XOLAIR 150 MG	SC
50242-0041-10	J2997	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	CATHFLO ACTIVASE 2 MG	IV
50242-0041-63	J2997	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	CATHFLO ACTIVASE (INNER) 2 MG	IV
50242-0041-64	J2997	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	CATHFLO ACTIVASE (VIAL) 2 MG	IV
50242-0043-14	J2941	INJECTION, SOMATROPIN, 1 MG	NUTROPIN AQ PEN CARTRIDGE 5 MG/ML	SC
50242-0044-13	J2997	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	ACTIVASE (W/DILUENT) 50 MG	IV
50242-0051-10	J9312	INJECTION, RITUXIMAB, 10 MG	RITUXAN (PF) 10 MG/1 ML	IV
50242-0051-21	J9310	INJECTION, RITUXIMAB, 100 MG	RITUXAN (S.D.V.,PF) 10 MG/ML	IV
50242-0051-21	J9312	INJECTION, RITUXIMAB, 10 MG	RITUXAN (S.D.V.,PF) 10 MG/ML	IV
50242-0053-06	J9310	INJECTION, RITUXIMAB, 100 MG	RITUXAN (S.D.V.,PF) 10 MG/ML	IV
50242-0053-06	J9312	INJECTION, RITUXIMAB, 10 MG	RITUXAN (S.D.V.,PF) 10 MG/ML	IV
50242-0060-01	J9035	INJECTION, BEVACIZUMAB, 10 MG	AVASTIN (PF) 25 MG/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