NDC - HCPCS Crosswalk

Effective October 1, 2018 through December 31, 2018

The crosswalk is intended to help understand which drug products -identified by NDCs- are assigned to which HCPCS billing codes. The crosswalk is not intended to be a comprehensive list of all NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units.

NDC HCPCS Code Labeler Drug Name Dosage Package Size Package Quantity Billable Units Billable Units / Pkg
0009-0626-01J1050Pfizer Inc.Medroxyprogesterone acetate1 MG2.5110001000
0009-0085-10J1071Pfizer Inc.Inj testosterone cypionate1 MG10110001000
0009-0086-01J1071Pfizer Inc.Inj testosterone cypionate1 MG11200200
0009-0086-10J1071Pfizer Inc.Inj testosterone cypionate1 MG10120002000
0009-0347-02J1071Pfizer Inc.Inj testosterone cypionate1 MG10110001000
0009-0417-01J1071Pfizer Inc.Inj testosterone cypionate1 MG11200200
0009-0417-02J1071Pfizer Inc.Inj testosterone cypionate1 MG10120002000
0009-0520-01J1071Pfizer Inc.Inj testosterone cypionate1 MG11200200
0009-0520-10J1071Pfizer Inc.Inj testosterone cypionate1 MG10120002000
0143-9659-01J1071West-Ward Pharmaceuticals CorpInj testosterone cypionate1 MG11200200
0143-9726-01J1071West-Ward Pharmaceuticals CorpInj testosterone cypionate1 MG10120002000
0409-6557-01J1071Pfizer Inc.Inj testosterone cypionate1 MG10110001000
0409-6562-01J1071Pfizer Inc.Inj testosterone cypionate1 MG11200200
0409-6562-02J1071Hospira, Inc.Inj testosterone cypionate1 MG11200200
0409-6562-20J1071Pfizer Inc.Inj testosterone cypionate1 MG10120002000
0409-6562-22J1071Hospira, Inc.Inj testosterone cypionate1 MG10120002000
0574-0820-01J1071Perrigo PharmaceuticalsInj testosterone cypionate1 MG11200200
0574-0820-10J1071Perrigo PharmaceuticalsInj testosterone cypionate1 MG10120002000
0591-4128-79J1071Actavis Pharma, Inc.Inj testosterone cypionate1 MG10120002000
62756-015-40J1071Sun Pharmaceutical Industries, Ltd.Inj testosterone cypionate1 MG11200200
62756-016-40J1071Sun Pharmaceutical Industries, Ltd.Inj testosterone cypionate1 MG10120002000
62756-017-40J1071Sun Pharmaceutical Industries, Ltd.Inj testosterone cypionate1 MG10110001000
69097-536-37J1071CIPLA USAInj testosterone cypionate1 MG10110001000
69097-537-31J1071CIPLA USAInj testosterone cypionate1 MG11200200
69097-537-37J1071CIPLA USAInj testosterone cypionate1 MG10120002000
0641-0367-25J1100West-Ward Pharmaceuticals CorpDexamethasone sodium phos1 MG12510250
0641-6145-25J1100West-Ward Pharmaceuticals CorpDexamethasone sodium phos1 MG1254100
0641-6146-25J1100West-Ward Pharmaceuticals CorpDexamethasone sodium phos1 MG52520500
55150-237-01J1100AUROMEDICS PHARMA, LLCDexamethasone sodium phos1 MG1254100
55150-238-05J1100AUROMEDICS PHARMA, LLCDexamethasone sodium phos1 MG52520500
55150-239-30J1100AUROMEDICS PHARMA, LLCDexamethasone sodium phos1 MG30251203000
63323-165-01J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG1254100
63323-165-05J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG52520500
63323-165-16J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG1254100
63323-165-26J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG52520500
63323-165-30J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG301120120
63323-506-01J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG12510250
63323-506-16J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG12510250
63323-516-10J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG101100100
67457-420-10J1100Mylan InstitutionalDexamethasone sodium phos1 MG10101001000
67457-421-30J1100Mylan InstitutionalDexamethasone sodium phos1 MG30251203000
67457-422-54J1100Mylan InstitutionalDexamethasone sodium phos1 MG52520500
67457-423-12J1100Mylan InstitutionalDexamethasone sodium phos1 MG1254100
76045-106-10J1100Fresenius Kabi USA LLCDexamethasone sodium phos1 MG124496
0143-9273-10J1110West-Ward Pharmaceuticals CorpInj dihydroergotamine mesylt1 MG110110
0574-0850-05J1110Perrigo PharmaceuticalsInj dihydroergotamine mesylt1 MG1515
0574-0850-10J1110Perrigo PharmaceuticalsInj dihydroergotamine mesylt1 MG110110
66490-041-01J1110Valeant Pharmaceuticals InternationalInj dihydroergotamine mesylt1 MG110110
0143-9503-01J1120West-Ward Pharmaceuticals CorpAcetazolamid sodium injectio500 MG1111
25021-817-10J1120Mylan InstitutionalAcetazolamid sodium injectio500 MG1111
39822-0190-1J1120X-Gen Pharmaceuticals, Inc.Acetazolamid sodium injectio500 MG1111
39822-0190-7J1120X-Gen Pharmaceuticals, Inc.Acetazolamid sodium injectio500 MG1111
39822-0191-9J1120X-Gen Pharmaceuticals, Inc.Acetazolamid sodium injectio500 MG1111
0641-1410-35J1160West-Ward Pharmaceuticals CorpDigoxin injection0.5 MG225125
0641-6184-25J1160West-Ward Pharmaceuticals CorpDigoxin injection0.5 MG225125
0781-3059-95J1160Sandoz, Inc.Digoxin injection0.5 MG210110
70515-260-10J1160COVIS PHARMADigoxin injection0.5 MG210110
70515-262-10J1160COVIS PHARMADigoxin injection0.5 MG1100.22
50633-120-11J1162BTG InternationalDigoxin immune fab (ovine)PER VIAL1111
0641-0493-25J1165West-Ward Pharmaceuticals CorpPhenytoin sodium injection50 MG225250
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