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
52118-001-01J3095Theravance Biopharma, Inc.Telavancin injection10 MG117575
52118-002-01J3095Theravance, Inc.Telavancin injection10 MG112525
62847-001-01J3095Theravance BioPharma, Inc.Telavancin injection10 MG117575
50242-120-01J3101Genentech, Inc.Tenecteplase injection1 MG115050
0143-9746-10J3105West-Ward Pharmaceuticals CorpTerbutaline sulfate inj1 MG110110
63323-665-01J3105Fresenius Kabi USA LLCTerbutaline sulfate inj1 MG125125
70860-801-01J3105Athenex Pharmaceutical Division, LLC.Terbutaline sulfate inj1 MG110110
0143-9750-01J3121West-Ward Pharmaceuticals CorpInj testostero enanthate 1mg1 MG5110001000
0591-3221-26J3121Actavis Pharma, Inc.Inj testostero enanthate 1mg1 MG5110001000
67979-511-43J3145Endo Pharmaceutical Solutions Inc.Testosterone undecanoate 1mg1 MG31750750
0641-1397-35J3230West-Ward Pharmaceuticals CorpChlorpromazine hcl injection50 MG1250.512.5
0641-1398-35J3230West-Ward Pharmaceuticals CorpChlorpromazine hcl injection50 MG225125
58468-0030-2J3240Genzyme CorporationThyrotropin injection0.9 MG1212
0008-4990-02J3243Pfizer Inc.Tigecycline injection1 MG11050500
0008-4990-20J3243Pfizer Inc.Tigecycline injection1 MG11050500
0008-4994-20J3243Pfizer Inc.Tigecycline injection1 MG11050500
0781-3481-92J3243Sandoz, Inc.Tigecycline injection1 MG11050500
63323-960-10J3243Fresenius Kabi USA LLCTigecycline injection1 MG11050500
42023-118-01J3250Par Pharmaceutical, IncTrimethobenzamide hcl inj200 MG2011010
42023-119-25J3250Par Pharmaceutical, IncTrimethobenzamide hcl inj200 MG225125
0409-3578-01J3260Pfizer Inc.Tobramycin sulfate injection80 MG225125
17478-114-02J3260AkornTobramycin sulfate injection80 MG225125
17478-114-30J3260AkornTobramycin sulfate injection80 MG301015150
39822-0409-6J3260X-Gen Pharmaceuticals, Inc.Tobramycin sulfate injection80 MG161590
39822-0412-1J3260X-Gen Pharmaceuticals, Inc.Tobramycin sulfate injection80 MG111515
39822-0412-6J3260X-Gen Pharmaceuticals, Inc.Tobramycin sulfate injection80 MG161590
63323-303-51J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG161590
63323-303-55J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG161590
63323-305-02J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG2250.256.25
63323-306-02J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG225125
63323-306-30J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG301015150
63323-307-51J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG5012525
67457-428-30J3260Mylan InstitutionalTobramycin sulfate injection80 MG301015150
67457-473-22J3260Mylan InstitutionalTobramycin sulfate injection80 MG225125
50242-135-01J3262Genentech, Inc.Tocilizumab injection1 MG8018080
50242-136-01J3262Genentech, Inc.Tocilizumab injection1 MG2001200200
50242-137-01J3262Genentech, Inc.Tocilizumab injection1 MG4001400400
66302-101-01J3285United TherapeuticsTreprostinil injection1 MG2012020
66302-102-01J3285United TherapeuticsTreprostinil injection1 MG2015050
66302-105-01J3285United TherapeuticsTreprostinil injection1 MG201100100
66302-110-01J3285United TherapeuticsTreprostinil injection1 MG201200200
0065-0543-01J3300Novartis Pharmaceuticals CorporationTriamcinolone a inj prs-free1 MG114040
0003-0293-05J3301Bristol-Myers Squibb CompanyTriamcinolone acet inj nos10 MG1144
0003-0293-20J3301Bristol-Myers Squibb CompanyTriamcinolone acet inj nos10 MG512020
0003-0293-28J3301Bristol-Myers Squibb CompanyTriamcinolone acet inj nos10 MG1014040
0003-0494-20J3301Bristol-Myers Squibb CompanyTriamcinolone acet inj nos10 MG5155
70121-1049-5J3301Amneal BiosciencesTriamcinolone acet inj nos10 MG1254100
70121-1168-1J3301Amneal BiosciencesTriamcinolone acet inj nos10 MG512020
70121-1169-1J3301Amneal BiosciencesTriamcinolone acet inj nos10 MG1014040
0023-5902-04J3315Allergan Sales, LLCTriptorelin pamoate3.75 MG1111
0023-5904-12J3315Allergan Sales, LLCTriptorelin pamoate3.75 MG1133
0023-5906-23J3315Allergan Sales, LLCTriptorelin pamoate3.75 MG1166
57894-060-02J3357Janssen Biotech, Inc.Ustekinumab sub cu inj, 1 mg1 MG0.514545
57894-060-03J3357Janssen Biotech, Inc.Ustekinumab sub cu inj, 1 mg1 MG0.514545
57894-061-03J3357Janssen Biotech, Inc.Ustekinumab sub cu inj, 1 mg1 MG119090
57894-054-27J3358Janssen Biotech, Inc.Ustekinumab, iv inject,1 mg1 MG261130130
0409-1273-32J3360Pfizer Inc.Diazepam injection5 MG210220
0409-3213-10J3360Pfizer Inc.Diazepam injection5 MG101010100
0409-3213-12J3360Pfizer Inc.Diazepam injection5 MG1051050
0338-3551-48J3370Baxter Healthcare CorporationVancomycin hcl injection500 MG100111
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