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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
44567-0424-24	J3475	INJECTION, MAGNESIUM SULFATE, PER 500 MG	MAGNESIUM SULFATE (24X50ML;SD,LATEX-FREE) 80 MG/1 ML	IV
44567-0435-24	J1956	INJECTION, LEVOFLOXACIN, 250 MG	LEVOFLOXACIN IN 5% DEXTROSE (NEXCEL PREMIX BAG,PF) 5%-250 MG/50 ML	IV
44567-0436-24	J1956	INJECTION, LEVOFLOXACIN, 250 MG	LEVOFLOXACIN IN 5% DEXTROSE (NEXCEL PREMIX BAG,PF) 5%-500 MG/100 ML	IV
44567-0437-24	J1956	INJECTION, LEVOFLOXACIN, 250 MG	LEVOFLOXACIN IN 5% DEXTROSE (NEXCEL PREMIX BAG,PF) 5%-750 MG/150 ML	IV
44567-0450-10	J1806	INJECTION, ESMOLOL HYDROCHLORIDE (WG CRITICAL CARE) NOT THERAPEUTICALLY EQUIVALENT TO J1805, 10 MG	ESMOLOL HCL (SINGLE DOSE,PF) 2500 MG/250 ML	IV
44567-0451-10	J1806	INJECTION, ESMOLOL HYDROCHLORIDE (WG CRITICAL CARE) NOT THERAPEUTICALLY EQUIVALENT TO J1805, 10 MG	ESMOLOL HCL (DOUBLE STRENGTH,PF) 2000 MG/100 ML	IV
44567-0500-10	J1953	INJECTION, LEVETIRACETAM, 10 MG	LEVETIRACETAM (10X50ML,LATEX-FREE) 5 MG/1 ML	IV
44567-0501-10	J1953	INJECTION, LEVETIRACETAM, 10 MG	LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 500 MG/100 ML-0.82%	IV
44567-0501-90	J1953	INJECTION, LEVETIRACETAM, 10 MG	PREMIERPRO RX LEVETIRACETAM (LATEX-FREE) 500 MG/100 ML-0.82%	IV
44567-0502-10	J1953	INJECTION, LEVETIRACETAM, 10 MG	LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1000 MG/100 ML-0.75%	IV
44567-0503-10	J1953	INJECTION, LEVETIRACETAM, 10 MG	LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1500 MG/100 ML-0.54%	IV
44567-0511-01	J9060	INJECTION, CISPLATIN, POWDER OR SOLUTION, 10 MG	CISPLATIN (MDV,PF) 1 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