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
0378-4472-05J7517Mylan Pharmaceuticals, IncMycophenolate mofetil oral250 MG150010001000
0781-2067-01J7517Sandoz, Inc.Mycophenolate mofetil oral250 MG1100100100
0781-2067-05J7517Sandoz, Inc.Mycophenolate mofetil oral250 MG1500500500
0781-2067-89J7517Sandoz, Inc.Mycophenolate mofetil oral250 MG1144014401440
0781-5175-01J7517Sandoz, Inc.Mycophenolate mofetil oral250 MG1100200200
0781-5175-05J7517Sandoz, Inc.Mycophenolate mofetil oral250 MG150010001000
51079-379-20J7517Mylan InstitutionalMycophenolate mofetil oral250 MG1100200200
51079-721-20J7517Mylan InstitutionalMycophenolate mofetil oral250 MG1100100100
64380-725-06J7517Strides Pharma Inc.Mycophenolate mofetil oral250 MG1001200200
64380-725-07J7517Strides Pharma Inc.Mycophenolate mofetil oral250 MG150010001000
64380-726-06J7517Strides Pharma Inc.Mycophenolate mofetil oral250 MG1001100100
64380-726-07J7517Strides Pharma Inc.Mycophenolate mofetil oral250 MG1500500500
67877-225-01J7517Ascend LaboratoriesMycophenolate mofetil oral250 MG1001200200
67877-225-05J7517Ascend LaboratoriesMycophenolate mofetil oral250 MG500110001000
67877-230-22J7517Ascend LaboratoriesMycophenolate mofetil oral250 MG2251180180
67877-266-01J7517Ascend LaboratoriesMycophenolate mofetil oral250 MG1001100100
67877-266-05J7517Ascend LaboratoriesMycophenolate mofetil oral250 MG5001500500
68084-795-01J7517American Health PackagingMycophenolate mofetil oral250 MG1100100100
68084-801-01J7517American Health PackagingMycophenolate mofetil oral250 MG1001200200
0078-0385-66J7518Novartis Pharmaceuticals CorporationMycophenolic acid180 MG1201120120
0078-0386-66J7518Novartis Pharmaceuticals CorporationMycophenolic acid180 MG1201240240
0378-4201-78J7518Mylan Pharmaceuticals, IncMycophenolic acid180 MG1201120120
0378-4202-78J7518Mylan Pharmaceuticals, IncMycophenolic acid180 MG1201240240
51079-508-20J7518Mylan InstitutionalMycophenolic acid180 MG1001100100
51079-509-20J7518Mylan InstitutionalMycophenolic acid180 MG1001200200
68084-907-21J7518American Health PackagingMycophenolic acid180 MG3013030
68084-918-25J7518American Health PackagingMycophenolic acid180 MG3016060
0008-1030-06J7520Pfizer Inc.Sirolimus, oral1 MG6016060
0008-1040-05J7520Pfizer Inc.Sirolimus, oral1 MG10015050
0008-1040-10J7520Pfizer Inc.Sirolimus, oral1 MG10015050
0008-1041-05J7520Pfizer Inc.Sirolimus, oral1 MG1001100100
0008-1041-10J7520Pfizer Inc.Sirolimus, oral1 MG1001100100
0008-1042-05J7520Pfizer Inc.Sirolimus, oral1 MG1001200200
55111-653-01J7520Dr. Reddy's Laboratories, Inc.Sirolimus, oral1 MG1001100100
55111-654-01J7520Dr. Reddy's Laboratories, Inc.Sirolimus, oral1 MG1001200200
59762-1001-1J7520GREENSTONESirolimus, oral1 MG10015050
59762-1002-1J7520GREENSTONESirolimus, oral1 MG1001100100
59762-1003-1J7520GREENSTONESirolimus, oral1 MG1001200200
68084-915-25J7520American Health PackagingSirolimus, oral1 MG3013030
68084-956-25J7520American Health PackagingSirolimus, oral1 MG3011515
0469-3016-01J7525Astellas Pharma US, Inc.Tacrolimus injection5 MG1111
0078-0414-20J7527Novartis Pharmaceuticals CorporationOral everolimus0.25 MG601120120
0078-0415-20J7527Novartis Pharmaceuticals CorporationOral everolimus0.25 MG601180180
0078-0417-20J7527Novartis Pharmaceuticals CorporationOral everolimus0.25 MG6016060
63402-911-30J7605Sunovion Pharmaceuticals Inc.Arformoterol non-comp unit15 mcg230130
63402-911-64J7605Sunovion Pharmaceuticals Inc.Arformoterol non-comp unit15 mcg260160
49502-605-30J7606Mylan Specialty, L.P.Formoterol fumarate, inh20 MCG230130
49502-605-61J7606Mylan Specialty, L.P.Formoterol fumarate, inh20 MCG260160
0409-3307-03J7608Pfizer Inc.Acetylcysteine non-comp unit1 GM30339
0409-3308-03J7608Pfizer Inc.Acetylcysteine non-comp unit1 GM303618
0517-7504-25J7608American RegentAcetylcysteine non-comp unit1 GM4250.410
0517-7510-03J7608American RegentAcetylcysteine non-comp unit1 GM10313
0517-7604-25J7608American RegentAcetylcysteine non-comp unit1 GM4250.820
0517-7610-03J7608American RegentAcetylcysteine non-comp unit1 GM10326
0517-7630-03J7608American RegentAcetylcysteine non-comp unit1 GM303618
63323-690-30J7608Fresenius Kabi USA LLCAcetylcysteine non-comp unit1 GM303618
63323-691-30J7608Fresenius Kabi USA LLCAcetylcysteine non-comp unit1 GM30339
63323-692-10J7608Fresenius Kabi USA LLCAcetylcysteine non-comp unit1 GM10326
63323-693-10J7608Fresenius Kabi USA LLCAcetylcysteine non-comp unit1 GM10313
63323-694-04J7608Fresenius Kabi USA LLCAcetylcysteine non-comp unit1 GM4250.820
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