HCPCS J7517

Mycophenolate mofetil, oral, 250 mg

HCPCS Information
HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J7517: 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 J7517 identifies the type of service or supply used while any of the 48 NDC codes below could be used to specify the exact drug used.
Short Description: Mycophenolate mofetil oral
Long Description: Mycophenolate mofetil, oral, 250 mg
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Carrier judgment
BETOS Type of Service: Other drugs
Medicare Payment Limit: $0.16
Medicare Co-Insurance Percentage: 20.000%
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
0004-0259	Cellcept	Mycophenolate Mofetil	Capsule	Oral	Genentech, Inc.	ACTIVE
0004-0260	Cellcept	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Genentech, Inc.	ACTIVE
0004-0261	Cellcept	Mycophenolate Mofetil	Powder, For Suspension	Oral	Genentech, Inc.	ACTIVE
0054-0163	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Hikma Pharmaceuticals Usa Inc.	ACTIVE
0054-0166	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet	Oral	Hikma Pharmaceuticals Usa Inc.	ACTIVE
0093-7334	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Teva Pharmaceuticals Usa, Inc.	ACTIVE
0378-2250	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Mylan Pharmaceuticals Inc.	ACTIVE
0378-4472	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Mylan Pharmaceuticals Inc.	ACTIVE
0480-1175	Mycophenolate Mofetil				Teva Pharmaceuticals, Inc.
0480-3571	Mycophenolate Mofetil				Teva Pharmaceuticals Usa, Inc.
0527-5160	Mycophenolate Mofetil	Mycophenolate Mofetil	Powder, For Suspension	Oral	Lannett Company, Inc.	ACTIVE
0781-2067	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Sandoz Inc	ACTIVE
0781-5175	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Sandoz Inc	ACTIVE
0904-7074	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Major Pharmaceuticals	ACTIVE
0904-7078	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Major Pharmaceuticals	ACTIVE
16714-345	Mycophenolate Mofetil				Northstar Rxllc
16729-019	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet	Oral	Accord Healthcare Inc.	ACTIVE
16729-094	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Accord Healthcare Inc.	ACTIVE
23155-830	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Heritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.	ACTIVE
23155-836	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Heritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.	ACTIVE
23155-848	Mycophenolate Mofetil	Mycophenolate Mofetil	Powder, For Suspension	Oral	Heritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.	ACTIVE
31722-878	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Camber Pharmaceuticals, Inc.	ACTIVE
31722-879	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Camber Pharmaceuticals, Inc.	ACTIVE
42658-101	Mycophenolate Mofetil				Hisun Pharmaceuticals Usa, Inc.
50090-4275	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	A-s Medication Solutions	ACTIVE
50268-557	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Avpak	ACTIVE
50268-558	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Avpak	ACTIVE
51079-379	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Mylan Institutional Inc.	ACTIVE
51079-721	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Mylan Institutional Inc.	ACTIVE
59651-624	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Aurobindo Pharma Limited	ACTIVE
59651-638	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Aurobindo Pharma Limited	ACTIVE
59651-646	Mycophenolate Mofetil	Mycophenolate Mofetil	Powder, For Suspension	Oral	Aurobindo Pharma Limited	ACTIVE
60219-1595	Mycophenolate Mofetil	Mycophenolate Mofetil	Powder, For Suspension	Oral	Amneal Pharmaceuticals Ny Llc	ACTIVE
60687-438	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	American Health Packaging	ACTIVE
60687-494	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	American Health Packaging	ACTIVE
64380-725	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Strides Pharma Science Limited	ACTIVE
64380-726	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Strides Pharma Science Limited	ACTIVE
66689-307	Mycophenolate Mofetil	Mycophenolate Mofetil	Powder, For Suspension	Oral	Vistapharm, Llc	ACTIVE
67877-225	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Ascend Laboratories, Llc	ACTIVE
67877-230	Mycophenolate Mofetil	Mycophenolate Mofetil	Powder, For Suspension	Oral	Ascend Laboratories, Llc	ACTIVE
67877-266	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Ascend Laboratories, Llc	ACTIVE
69238-1595	Mycophenolate Mofetil	Mycophenolate Mofetil	Powder, For Suspension	Oral	Amneal Pharmaceuticals Ny Llc	ACTIVE
70748-186	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Lupin Pharmaceuticals, Inc.	ACTIVE
70748-262	Mycophenolate Mofetil				Lupin Pharmaceuticals, Inc.
72888-185	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet	Oral	Advagen Pharma Limited	ACTIVE
72888-192	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Advagen Pharma Limited	ACTIVE
73190-009	Mycophenolate Mofetil	Mycophenolate Mofetil	Capsule	Oral	Avkare	ACTIVE
73190-010	Mycophenolate Mofetil	Mycophenolate Mofetil	Tablet, Film Coated	Oral	Avkare	ACTIVE

Table of Contents

HCPCS Information

HCPCS Crossover to NDC Codes