HCPCS J0750

Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)

HCPCS Information
HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J0750: The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J0750 identifies the type of service or supply used while any of the 37 NDC codes below could be used to specify the exact drug used.
Short Description: Hiv prep, ftc/tdf 200/300mg
Long Description: Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)
Pricing Indicator: Other carrier priced
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Special coverage instructions apply
BETOS Type of Service: Other drugs
Medicare Payment Limit: $1.34
Medicare Co-Insurance Percentage: 0.000%
Medicare Pricing Notes: HIV PrEP drug
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC	Proprietary Name	Non-Proprietary Name	Dosage Form	Route Name	Company Name	Status
0093-7704	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Teva Pharmaceuticals Usa, Inc.	ACTIVE
0378-1930	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Mylan Pharmaceuticals Inc.	ACTIVE
0904-7172	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Major Pharmaceuticals	ACTIVE
16714-534	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Northstar Rxllc	ACTIVE
31722-560	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Camber Pharmaceuticals, Inc.	ACTIVE
33342-106	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Macleods Pharmaceuticals Limited	ACTIVE
42291-439	Emtricitabine And Tenofovir Disoproxil Fumarate				Avkare
42291-980	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Avkare	ACTIVE
42385-953	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Laurus Labs Limited	ACTIVE
42543-719	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet	Oral	Strides Pharma Inc.	ACTIVE
50090-6494	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	A-s Medication Solutions	ACTIVE
51407-112	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet	Oral	Golden State Medical Supply, Inc.	ACTIVE
54868-5141	Truvada				Physicians Total Care, Inc.	INACTIVATED
59651-165	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Aurobindo Pharma Limited	ACTIVE
59651-166	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Aurobindo Pharma Limited	ACTIVE
59651-167	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Aurobindo Pharma Limited	ACTIVE
60687-719	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	American Health Packaging	ACTIVE
61958-0701	Truvada	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Gilead Sciences, Inc	ACTIVE
61958-0703	Truvada	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Gilead Sciences, Inc	ACTIVE
61958-0704	Truvada	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Gilead Sciences, Inc	ACTIVE
61958-0705	Truvada	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Gilead Sciences, Inc	ACTIVE
64380-719	Emtricitabine And Tenofovir Disoproxil Fumarate				Strides Pharma Science Limited
65862-354	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Aurobindo Pharma Limited	ACTIVE
65862-354		Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated		Aurobindo Pharma Limited	ACTIVE
68180-287	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Lupin Pharmaceuticals, Inc.	ACTIVE
69097-741	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Cipla Usa Inc.	ACTIVE
69238-2092	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Amneal Pharmaceuticals Ny Llc	ACTIVE
69238-2093	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Amneal Pharmaceuticals Ny Llc	ACTIVE
69238-2094	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Amneal Pharmaceuticals Ny Llc	ACTIVE
69238-2095	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Amneal Pharmaceuticals Ny Llc	ACTIVE
70710-1364	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Zydus Pharmaceuticals Usa Inc.	ACTIVE
70710-1365	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Zydus Pharmaceuticals Usa Inc.	ACTIVE
70710-1366	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Zydus Pharmaceuticals Usa Inc.	ACTIVE
70710-1367	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Zydus Pharmaceuticals Usa Inc.	ACTIVE
71205-776	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Proficient Rx Lp	ACTIVE
76282-677	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Exelan Pharmaceuticals, Inc.	ACTIVE
82009-109	Emtricitabine And Tenofovir Disoproxil Fumarate	Emtricitabine And Tenofovir Disoproxil Fumarate	Tablet, Film Coated	Oral	Quallent Pharmaceuticals Health Llc	ACTIVE

Table of Contents

HCPCS Information

HCPCS Crossover to NDC Codes