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
76204-800-24J7614Ritedose Pharmaceutical LLCLevalbuterol non-comp unit0.5 MG3241.2530
76204-800-25J7614Ritedose Pharmaceutical LLCLevalbuterol non-comp unit0.5 MG3251.2531.25
76204-900-01J7614Ritedose Pharmaceutical LLCLevalbuterol non-comp unit0.5 MG3302.575
76204-900-24J7614Ritedose Pharmaceutical LLCLevalbuterol non-comp unit0.5 MG3242.560
76204-900-25J7614Ritedose Pharmaceutical LLCLevalbuterol non-comp unit0.5 MG3252.562.5
0093-6723-73J7620Teva Pharmaceuticals USA, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
0093-6723-74J7620Teva Pharmaceuticals USA, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG360160
0378-9671-30J7620Mylan Pharmaceuticals, IncAlbuterol ipratrop non-comp2.5 MG/0.5 MG330130
0378-9671-58J7620Mylan Pharmaceuticals, IncAlbuterol ipratrop non-comp2.5 MG/0.5 MG330130
0378-9671-60J7620Mylan Pharmaceuticals, IncAlbuterol ipratrop non-comp2.5 MG/0.5 MG360160
0378-9671-91J7620Mylan Pharmaceuticals, IncAlbuterol ipratrop non-comp2.5 MG/0.5 MG360160
0378-9671-93J7620Mylan Pharmaceuticals, IncAlbuterol ipratrop non-comp2.5 MG/0.5 MG330130
0487-0201-01J7620Nephron Pharmaceuticals Corp.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
0487-0201-02J7620Nephron Pharmaceuticals Corp.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
0487-0201-03J7620Nephron Pharmaceuticals Corp.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
0487-0201-60J7620Nephron Pharmaceuticals Corp.Albuterol ipratrop non-comp2.5 MG/0.5 MG360160
0591-3817-30J7620Actavis Pharma, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
0591-3817-39J7620Actavis Pharma, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
0591-3817-60J7620Watson PharmaceuticalsAlbuterol ipratrop non-comp2.5 MG/0.5 MG360160
0591-3817-66J7620Actavis Pharma, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG360160
0781-7146-29J7620Sandoz, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG360160
0781-7146-63J7620Sandoz, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG360160
0781-7146-64J7620Sandoz, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
0781-7146-87J7620Sandoz, Inc.Albuterol ipratrop non-comp2.5 MG/0.5 MG330130
69097-173-53J7620Cipla USA IncAlbuterol ipratrop non-comp2.5 MG/0.5 MG330130
69097-173-64J7620Cipla USA IncAlbuterol ipratrop non-comp2.5 MG/0.5 MG360160
76204-600-01J7620Ritedose Pharmaceutical LLCAlbuterol ipratrop non-comp2.5 MG/0.5 MG330130
76204-600-05J7620Ritedose Pharmaceutical LLCAlbuterol ipratrop non-comp2.5 MG/0.5 MG330130
76204-600-12J7620Ritedose Pharmaceutical LLCAlbuterol ipratrop non-comp2.5 MG/0.5 MG360160
76204-600-30J7620Ritedose Pharmaceutical LLCAlbuterol ipratrop non-comp2.5 MG/0.5 MG330130
76204-600-60J7620Ritedose Pharmaceutical LLCAlbuterol ipratrop non-comp2.5 MG/0.5 MG360160
0093-6815-73J7626Teva Pharmaceuticals USA, Inc.Budesonide non-comp unitUP TO 0.50 MG230130
0093-6816-73J7626Teva Pharmaceuticals USA, Inc.Budesonide non-comp unitUP TO 0.50 MG230130
0093-6817-73J7626Teva Pharmaceuticals USA, Inc.Budesonide non-comp unitUP TO 0.50 MG230260
0115-1687-74J7626Impax GenericsBudesonide non-comp unitUP TO 0.50 MG230130
0115-1689-74J7626Impax GenericsBudesonide non-comp unitUP TO 0.50 MG230130
0186-1988-04J7626AstraZeneca Pharmaceuticals LPBudesonide non-comp unitUP TO 0.50 MG230130
0186-1989-04J7626AstraZeneca Pharmaceuticals LPBudesonide non-comp unitUP TO 0.50 MG230130
0186-1990-04J7626AstraZeneca Pharmaceuticals LPBudesonide non-comp unitUP TO 0.50 MG230260
0487-9601-01J7626Nephron Pharmaceuticals Corp.Budesonide non-comp unitUP TO 0.50 MG230130
0487-9601-30J7626Nephron Pharmaceuticals Corp.Budesonide non-comp unitUP TO 0.50 MG230130
0487-9701-01J7626Nephron Pharmaceuticals Corp.Budesonide non-comp unitUP TO 0.50 MG230130
0487-9701-30J7626Nephron Pharmaceuticals Corp.Budesonide non-comp unitUP TO 0.50 MG230130
0781-7515-87J7626Sandoz, Inc.Budesonide non-comp unitUP TO 0.50 MG230130
0781-7516-87J7626Sandoz, Inc.Budesonide non-comp unitUP TO 0.50 MG230130
0781-7517-87J7626Sandoz, Inc.Budesonide non-comp unitUP TO 0.50 MG230260
69097-318-87J7626CIPLA USA, INC.Budesonide non-comp unitUP TO 0.50 MG230130
69097-319-87J7626CIPLA USA, INC.Budesonide non-comp unitUP TO 0.50 MG230130
69097-321-87J7626CIPLA USA, INC.Budesonide non-comp unitUP TO 0.50 MG230260
0172-6406-49J7631Ivax Pharmaceuticals, Inc.Cromolyn sodium noncomp unit10 MG2602120
69784-205-60J7631Woodward Pharma Services LLCCromolyn sodium noncomp unit10 MG2602120
50242-100-40J7639Genentech, Inc.Dornase alfa non-comp unit1 MG2.5302.575
0378-7970-52J7644Mylan Pharmaceuticals, IncIpratropium bromide non-comp1 MG2.5250.512.5
0378-7970-55J7644Mylan Pharmaceuticals, IncIpratropium bromide non-comp1 MG2.5300.515
0378-7970-91J7644Mylan Pharmaceuticals, IncIpratropium bromide non-comp1 MG2.5600.530
0378-7970-93J7644Mylan Pharmaceuticals, IncIpratropium bromide non-comp1 MG2.5300.515
0487-9801-01J7644Nephron Pharmaceuticals Corp.Ipratropium bromide non-comp1 MG2.5300.515
0487-9801-02J7644Nephron Pharmaceuticals Corp.Ipratropium bromide non-comp1 MG2.5300.515
0487-9801-25J7644Nephron Pharmaceuticals Corp.Ipratropium bromide non-comp1 MG2.5250.512.5
0487-9801-30J7644Nephron Pharmaceuticals Corp.Ipratropium bromide non-comp1 MG2.5300.515
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