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
23155-214-31J9201Heritage Pharmaceuticals, Inc.Gemcitabine hcl injection200 MG1155
23155-483-31J9201Heritage Pharmaceuticals, Inc.Gemcitabine hcl injection200 MG1111
23155-484-31J9201Heritage Pharmaceuticals, Inc.Gemcitabine hcl injection200 MG1155
23155-528-31J9201Heritage Pharmaceuticals, Inc.Gemcitabine hcl injection200 MG1111
23155-529-31J9201Heritage Pharmaceuticals, Inc.Gemcitabine hcl injection200 MG1155
25021-234-10J9201Sagent Pharmaceuticals IncGemcitabine hcl injection200 MG1111
25021-235-50J9201Sagent Pharmaceuticals IncGemcitabine hcl injection200 MG1155
45963-612-57J9201Actavis Pharma, Inc.Gemcitabine hcl injection200 MG1111
45963-619-59J9201Actavis Pharma, Inc.Gemcitabine hcl injection200 MG1155
45963-620-60J9201Actavis Pharma, Inc.Gemcitabine hcl injection200 MG111010
45963-623-57J9201Actavis Pharma, Inc.Gemcitabine hcl injection200 MG1111
45963-624-58J9201Actavis Pharma, Inc.Gemcitabine hcl injection200 MG1155
45963-636-60J9201Actavis Pharma, Inc.Gemcitabine hcl injection200 MG111010
47335-154-40J9201Sun Pharmaceutical Global Fze.Gemcitabine hcl injection200 MG1155
55111-686-07J9201Dr. Reddy's Laboratories, Inc.Gemcitabine hcl injection200 MG1111
55111-687-25J9201Dr. Reddy's Laboratories, Inc.Gemcitabine hcl injection200 MG1155
63323-102-13J9201Fresenius Kabi USA LLCGemcitabine hcl injection200 MG1111
63323-102-94J9201Fresenius Kabi USA LLCGemcitabine hcl injection200 MG1111
63323-125-53J9201Fresenius Kabi USA LLCGemcitabine hcl injection200 MG1155
63323-125-94J9201Fresenius Kabi USA LLCGemcitabine hcl injection200 MG1155
63323-126-00J9201Fresenius Kabi USA LLCGemcitabine hcl injection200 MG111010
67457-616-10J9201MYLAN INSTITUTIONAL LLCGemcitabine hcl injection200 MG5.26111
67457-617-30J9201Mylan InstitutionalGemcitabine hcl injection200 MG26.3155
67457-618-10J9201Mylan InstitutionalGemcitabine hcl injection200 MG52.611010
68001-282-25J9201American Health PackagingGemcitabine hcl injection200 MG1111
68001-282-26J9201American Health PackagingGemcitabine hcl injection200 MG1155
68001-282-27J9201American Health PackagingGemcitabine hcl injection200 MG111010
70860-205-50J9201ATHENEXGemcitabine hcl injection200 MG1155
0310-0950-36J9202TerSera Therapeutics LLCGoserelin acetate implant3.6 MG1111
0310-0951-30J9202TerSera Therapeutics LLCGoserelin acetate implant3.6 MG1133
70720-950-36J9202TERSERA THERAPEUTICSGoserelin acetate implant3.6 MG1111
70720-951-30J9202TERSERA THERAPEUTICSGoserelin acetate implant3.6 MG1133
15054-0043-1J9205Ipsen Biopharmaceuticals, IncInj irinotecan liposome 1 mg1 MG1014343
69171-398-01J9205Ipsen Biopharmaceuticals, IncInj irinotecan liposome 1 mg1 MG1014343
0009-1111-02J9206Pfizer Inc.Irinotecan injection20 MG5155
0009-7529-03J9206Pfizer Inc.Irinotecan injection20 MG5155
0009-7529-04J9206Pfizer Inc.Irinotecan injection20 MG2122
0009-7529-05J9206Pfizer Inc.Irinotecan injection20 MG1511515
0143-9583-01J9206West-Ward Pharmaceuticals CorpIrinotecan injection20 MG5155
0143-9701-01J9206West-Ward Pharmaceuticals CorpIrinotecan injection20 MG5155
0143-9702-01J9206West-Ward Pharmaceuticals CorpIrinotecan injection20 MG2122
0703-4432-11J9206Sicor Pharmaceuticals, Inc.Irinotecan injection20 MG2122
0703-4432-81J9206Sicor Pharmaceuticals, Inc.Irinotecan injection20 MG2122
0703-4434-11J9206Sicor Pharmaceuticals, Inc.Irinotecan injection20 MG5155
0703-4434-81J9206Sicor Pharmaceuticals, Inc.Irinotecan injection20 MG5155
16714-725-01J9206NorthStar Rx LLCIrinotecan injection20 MG2122
16714-726-01J9206NorthStar Rx LLCIrinotecan injection20 MG5155
23155-179-31J9206Heritage Pharmaceuticals, Inc.Irinotecan injection20 MG2122
23155-179-32J9206Heritage Pharmaceuticals, Inc.Irinotecan injection20 MG5155
25021-230-02J9206Sagent Pharmaceuticals IncIrinotecan injection20 MG2122
25021-230-05J9206Sagent Pharmaceuticals IncIrinotecan injection20 MG5155
45963-614-51J9206Actavis Pharma, Inc.Irinotecan injection20 MG2122
45963-614-55J9206Actavis Pharma, Inc.Irinotecan injection20 MG5155
50742-401-02J9206INGENUS PHARMACEUTICALSIrinotecan injection20 MG2122
50742-402-05J9206INGENUS PHARMACEUTICALSIrinotecan injection20 MG5155
61703-349-09J9206Pfizer Inc.Irinotecan injection20 MG5155
61703-349-16J9206Pfizer Inc.Irinotecan injection20 MG2122
61703-349-36J9206Pfizer Inc.Irinotecan injection20 MG2512525
63323-193-52J9206Fresenius Kabi USA LLCIrinotecan injection20 MG2122
63323-193-55J9206Fresenius Kabi USA LLCIrinotecan injection20 MG5155
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