HCPCS CODE	SHORT DESCRIPTOR	LABELER NAME	NATIONAL DRUG CODE (NDC)	DRUG NAME	CODE DOSAGE DESCRIPTOR	PACKAGE SIZE	PACKAGE QUANTITY	BILLABLE UNITS PER PACKAGE	BILLABLE UNITS PER NDC
90371	HEP B IG, IM	TALECRIS BIOTHERAPEUTICS, INC.	13533063601	BAYHEP B	1 ML	1.00	1.00	1.00	1.00
90371	HEP B IG, IM	TALECRIS BIOTHERAPEUTICS, INC.	13533063602	BAYHEP B	1 ML	1.00	1.00	1.00	1.00
90371	HEP B IG, IM	TALECRIS BIOTHERAPEUTICS, INC.	13533063603	BAYHEP B	1 ML	0.50	1.00	0.50	0.50
90371	HEP B IG, IM	TALECRIS BIOTHERAPEUTICS, INC.	13533063605	BAYHEP B	1 ML	5.00	1.00	5.00	5.00
90371	HEP B IG, IM	BIOTEST PHARMACEUTICALS CORPORATION	59730420201	NABI-HB	1 ML	1.00	1.00	1.00	1.00
90371	HEP B IG, IM	BIOTEST PHARMACEUTICALS CORPORATION	59730420301	NABI-HB	1 ML	5.00	1.00	5.00	5.00
90375	RABIES IG, IM/SC	TALECRIS BIOTHERAPEUTICS, INC.	13533061802	BAYRAB	150 IU	2.00	1.00	2.00	2.00
90375	RABIES IG, IM/SC	TALECRIS BIOTHERAPEUTICS, INC.	13533061803	HYPERRAB S/D	150 IU	2.00	1.00	2.00	2.00
90375	RABIES IG, IM/SC	TALECRIS BIOTHERAPEUTICS, INC.	13533061810	BAYRAB	150 IU	10.00	1.00	10.00	10.00
90376	RABIES IG, HEAT TREATED	TALECRIS BIOTHERAPEUTICS, INC.	13533061810	BAYRAB	150 IU	10.00	1.00	10.00	10.00
90376	RABIES IG, HEAT TREATED	SANOFI PASTEUR	49281019010	IMOGAM RABIES-HT	150 IU	10.00	1.00	10.00	10.00
90376	RABIES IG, HEAT TREATED	SANOFI PASTEUR	49281019020	IMOGAM RABIES-HT	150 IU	2.00	1.00	2.00	2.00
90385	RH IG, MINIDOSE, IM	TALECRIS BIOTHERAPEUTICS, INC.	13533063106	BAYRHO-D	50 MCG	1.00	10.00	1.00	1.00
90585	BCG VACCINE, PERCUT	ORGANON USA, INC.	00052060202	TICE BCG	50 MG	1.00	1.00	1.00	1.00
90585	BCG VACCINE, PERCUT	ORGANON USA, INC.	00052060302	TICE BCG	50 MG	1.00	1.00	1.00	1.00
90586	BCG VACCINE, INTRAVESICAL	ORGANON USA, INC.	00052060202	TICE BCG	1 EACH	1.00	1.00	1.00	1.00
90586	BCG VACCINE, INTRAVESICAL	ORGANON USA, INC.	00052060302	TICE BCG	1 EACH	1.00	1.00	1.00	1.00
90586	BCG VACCINE, INTRAVESICAL	SANOFI PASTEUR	49281088001	THERACYS	1 EACH	1.00	1.00	1.00	1.00
90632	HEP A VACCINE, ADULT IM	MERCK SHARP & DOHME CORP.	00006484100	VAQTA	1 ML	1.00	1.00	1.00	1.00
90632	HEP A VACCINE, ADULT IM	MERCK SHARP & DOHME CORP.	00006484141	VAQTA	1 ML	1.00	10.00	10.00	1.00
90632	HEP A VACCINE, ADULT IM	A-S MEDICATION SOLUTIONS	54569547500	HAVRIX	1 ML	1.00	5.00	5.00	1.00