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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
69238-2122-09	J7510	PREDNISOLONE ORAL, PER 5 MG	PREDNISOLONE SODIUM PHOSPHATE (AF,PF,SF,DYE-FREE) 15 MG/5 ML	PO
69315-0164-01	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	HYDROXYUREA 500 MG	PO
69339-0136-32	J3360	INJECTION, DIAZEPAM, UP TO 5 MG	DIAZEPAM (10X2ML) 5 MG/1 ML	IJ
69339-0136-34	J3360	INJECTION, DIAZEPAM, UP TO 5 MG	DIAZEPAM (SINGLE DOSE, USP) 5 MG/1 ML	IJ
69339-0137-05	J3360	INJECTION, DIAZEPAM, UP TO 5 MG	DIAZEPAM (MDV) 5 MG/1 ML	IJ
69339-0137-95	J3360	INJECTION, DIAZEPAM, UP TO 5 MG	DIAZEPAM NOVAPLUS (MDV) 5 MG/1 ML	IJ
69339-0160-16	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML	PO
69339-0160-17	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML	PO
69339-0160-18	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML	PO
69339-0160-19	J8999	PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS	MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML	PO
70710-1664-07	J3420	INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG	CYANOCOBALAMIN 1000 MCG/1 ML	IJ
70710-1665-01	J3420	INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG	CYANOCOBALAMIN 1000 MCG/1 ML	IJ

HCPCS Code	Description	Billing Unit	SA Type
A5082	Continent device; catheter for continent stoma	Each	N
A5083	Continent device, stoma absortive cover for continent stoma	Each	Y
A5093	Ostomy Accessory, Convex Insert	Each	N
A5102	Bedside drainage bottle, with or without tubing, rigid or expandable, each	Each	N
A5105	Urinary suspensory with leg bag, with or without tube, each	Each	N
A5126	Adhesive or non-adhesive; Disc Or Foam Pad	Each	N
A5131	Appliance cleaner, incontinence and Ostomy appliances, per 16 oz	Btl. (16oz.)	N
A5200	Percutaneous catheter/tube anchoring device, adhesive skin attachment	Each	N
A4330	Perianal Fecal Collection Pouch With Adhesive	Each	N
A4375	Ostomy pouch, drainable, with faceplate attached, plastic, each	Each	N
A4376	Ostomy pouch, drainable, with faceplate attached, rubber, each	Each	N
A4377	Ostomy pouch, drainable, for use on faceplate, plastic, each	Each	N