NDC - HCPCS Crosswalk

Effective January 1, 2019 through March 31, 2019

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
67457-340-01J3370Mylan InstitutionalVancomycin hcl injection500 MG110220
67457-341-05J3370Mylan InstitutionalVancomycin hcl injection500 MG111010
67457-342-10J3370Mylan InstitutionalVancomycin hcl injection500 MG112020
67457-611-10J3370Mylan InstitutionalVancomycin hcl injection500 MG110110
67457-612-20J3370Mylan InstitutionalVancomycin hcl injection500 MG110220
67457-613-10J3370Mylan InstitutionalVancomycin hcl injection500 MG111010
67457-614-10J3370Mylan InstitutionalVancomycin hcl injection500 MG112020
67457-705-75J3370MYLAN INSTITUTIONAL LLCVancomycin hcl injection500 MG1101.515
67457-822-99J3370Mylan InstitutionalVancomycin hcl injection500 MG1100.55
70860-104-10J3370Athenex Pharmaceutical Division, LLC.Vancomycin hcl injection500 MG110110
70860-105-20J3370Athenex Pharmaceutical Division, LLC.Vancomycin hcl injection500 MG110220
64764-300-20J3380Takeda Pharmaceuticals America, Inc.Injection, vedolizumab1 MG11300300
54092-701-04J3385Shire US, Inc.Velaglucerase alfa100 UNITS1144
0187-5600-15J3396Valeant Pharmaceuticals InternationalVerteporfin injection0.1 MG11150150
0517-4201-25J3410American RegentHydroxyzine hcl injection25 MG125125
0517-5601-25J3410American RegentHydroxyzine hcl injection25 MG125250
0517-5602-25J3410American RegentHydroxyzine hcl injection25 MG2254100
63323-013-02J3411Fresenius Kabi USA LLCThiamine hcl 100 mg100 MG225250
63323-013-09J3411Fresenius Kabi USA LLCThiamine hcl 100 mg100 MG225250
63323-013-26J3411Fresenius Kabi USA LLCThiamine hcl 100 mg100 MG225250
67457-196-02J3411Mylan InstitutionalThiamine hcl 100 mg100 MG225250
63323-180-01J3415Fresenius Kabi USA LLCPyridoxine hcl 100 mg100 MG125125
0143-9619-10J3420West-Ward Pharmaceuticals CorpVitamin b12 injection1000 MCG301030300
0143-9620-10J3420West-Ward Pharmaceuticals CorpVitamin b12 injection1000 MCG101010100
0143-9621-25J3420West-Ward Pharmaceuticals CorpVitamin b12 injection1000 MCG125125
0517-0031-25J3420American RegentVitamin b12 injection1000 MCG125125
0517-0032-25J3420American RegentVitamin b12 injection1000 MCG102510250
63323-044-01J3420Fresenius Kabi USA LLCVitamin b12 injection1000 MCG125125
67457-399-25J3420Mylan InstitutionalVitamin b12 injection1000 MCG102510250
67457-400-05J3420Mylan InstitutionalVitamin b12 injection1000 MCG30530150
0409-9157-01J3430Pfizer Inc.Vitamin k phytonadione inj1 MG0.525125
0409-9157-25J3430Pfizer Inc.Vitamin k phytonadione inj1 MG0.525125
0409-9158-01J3430Pfizer Inc.Vitamin k phytonadione inj1 MG12510250
0409-9158-25J3430Pfizer Inc.Vitamin k phytonadione inj1 MG12510250
0049-3190-01J3465Pfizer Inc.Injection, voriconazole10 MG112020
0049-3190-28J3465Pfizer Inc.Injection, voriconazole10 MG112020
0049-3190-38J3465Pfizer Inc.Injection, voriconazole10 MG112020
0049-4190-01J3465Pfizer Inc.Injection, voriconazole10 MG112020
0781-3416-94J3465Sandoz, Inc.Injection, voriconazole10 MG112020
39822-1077-1J3465X-Gen Pharmaceuticals, Inc.Injection, voriconazole10 MG112020
47781-466-71J3465Alvogen, Inc.Injection, voriconazole10 MG112020
24208-002-02J3471Bausch & LombOvine, up to 999 usp units1 UNIT1.22240480
18657-117-04J3473Halozyme Therapeutics, Inc.Hyaluronidase recombinant1 USP UNIT14150600
0409-1754-10J3475Pfizer Inc.Inj magnesium sulfate500 MG101010100
0409-2168-02J3475Pfizer Inc.Inj magnesium sulfate500 MG202520500
44567-410-24J3475WG Critical CareInj magnesium sulfate500 MG10024248
44567-420-24J3475WG CRITICAL CARE LLCInj magnesium sulfate500 MG5024496
44567-421-24J3475WG CRITICAL CARE LLCInj magnesium sulfate500 MG100248192
51754-1000-4J3475EXELA PHARMA SCIENCESInj magnesium sulfate500 MG102510250
63323-064-02J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG225250
63323-064-03J3475FRESENIUS KABI USAInj magnesium sulfate500 MG225250
63323-064-10J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG102510250
63323-064-11J3475FRESENIUS KABI USAInj magnesium sulfate500 MG102510250
63323-064-26J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG225250
63323-064-43J3475FRESENIUS KABI USA, LLCInj magnesium sulfate500 MG225250
63323-106-01J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg100248192
63323-106-05J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg5024496
63323-106-10J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg10001280960
63323-106-15J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg5002440960
63323-106-26J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg5024496
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