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
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
63323-695-04J7608Fresenius Kabi USA LLCAcetylcysteine non-comp unit1 GM4250.410
0487-9901-02J7611Nephron Pharmaceuticals Corp.Albuterol non-comp con1 MG0.5302.575
0487-9901-30J7611Nephron Pharmaceuticals Corp.Albuterol non-comp con1 MG0.5302.575
24208-347-20J7611Bausch & LombAlbuterol non-comp con1 MG201100100
50383-741-20J7611Hi-TechAlbuterol non-comp con1 MG201100100
0093-4147-56J7612Teva Pharmaceuticals USA, Inc.Levalbuterol non-comp con0.5 MG0.5302.575
0378-6993-93J7612Mylan Pharmaceuticals, IncLevalbuterol non-comp con0.5 MG0.5302.575
17478-171-30J7612AkornLevalbuterol non-comp con0.5 MG0.5302.575
0378-6991-52J7613Mylan Pharmaceuticals, IncAlbuterol non-comp unit1 MG3250.6315.75
0378-6992-52J7613Mylan Pharmaceuticals, IncAlbuterol non-comp unit1 MG3251.2531.25
0378-8270-52J7613Mylan Pharmaceuticals, IncAlbuterol non-comp unit1 MG3252.562.5
0378-8270-55J7613Mylan Pharmaceuticals, IncAlbuterol non-comp unit1 MG3302.575
0378-8270-91J7613Mylan Pharmaceuticals, IncAlbuterol non-comp unit1 MG3602.5150
0378-8270-93J7613Mylan Pharmaceuticals, IncAlbuterol non-comp unit1 MG3302.575
0487-0301-01J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3300.6319
0487-9501-01J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3302.575
0487-9501-03J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3302.575
0487-9501-25J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3252.562.5
0487-9501-60J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3602.5150
0487-9904-01J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3301.2537.5
0487-9904-02J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3301.2537.5
0487-9904-25J7613Nephron Pharmaceuticals Corp.Albuterol non-comp unit1 MG3251.2531.25
0591-3467-53J7613Actavis Pharma, Inc.Albuterol non-comp unit1 MG3250.6315.75
0591-3468-53J7613Actavis Pharma, Inc.Albuterol non-comp unit1 MG3251.2531.25
0591-3797-30J7613Actavis Pharma, Inc.Albuterol non-comp unit1 MG3302.575
0591-3797-60J7613Actavis Pharma, Inc.Albuterol non-comp unit1 MG3602.5150
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