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
0781-1830-01Q0169Sandoz, Inc.Promethazine hcl 12.5mg oral12.5 MG1001200200
0781-1830-10Q0169Sandoz, Inc.Promethazine hcl 12.5mg oral12.5 MG1000120002000
0781-1832-01Q0169Sandoz, Inc.Promethazine hcl 12.5mg oral12.5 MG1001400400
50383-801-16Q0169Hi-TechPromethazine hcl 12.5mg oral12.5 MG473147.347.3
51079-895-20Q0169Mylan InstitutionalPromethazine hcl 12.5mg oral12.5 MG1001200200
65162-521-10Q0169Amneal Pharmaceuticals, LLCPromethazine hcl 12.5mg oral12.5 MG1001200200
65162-521-11Q0169Amneal Pharmaceuticals, LLCPromethazine hcl 12.5mg oral12.5 MG1000120002000
65162-745-10Q0169Amneal Pharmaceuticals, LLCPromethazine hcl 12.5mg oral12.5 MG1001100100
68001-161-00Q0169American Health PackagingPromethazine hcl 12.5mg oral12.5 MG1001100100
68001-162-00Q0169American Health PackagingPromethazine hcl 12.5mg oral12.5 MG1001200200
68001-162-08Q0169American Health PackagingPromethazine hcl 12.5mg oral12.5 MG1000120002000
68001-163-00Q0169American Health PackagingPromethazine hcl 12.5mg oral12.5 MG1001400400
68084-154-01Q0169American Health PackagingPromethazine hcl 12.5mg oral12.5 MG1001100100
68084-155-01Q0169American Health PackagingPromethazine hcl 12.5mg oral12.5 MG1001200200
33332-118-10Q2035Seqirus IncAfluria vacc, 3 yrs & >, im0.5 ml511010
30237-8900-6Q2043DendreonSipuleucel-t auto cd54+Per infusion (minimum 50 million cells)250111
16714-742-01Q2050NorthStar Rx LLCDoxorubicin inj 10mg10 MG10122
16714-856-01Q2050NorthStar Rx LLCDoxorubicin inj 10mg10 MG25155
43598-283-35Q2050Dr. Reddy's Laboratories, Inc.Doxorubicin inj 10mg10 MG10122
43598-541-25Q2050Dr. Reddy's Laboratories, Inc.Doxorubicin inj 10mg10 MG25155
43598-682-35Q2050NOVAPLUS/DR.REDDY'SDoxorubicin inj 10mg10 MG10122
43598-683-25Q2050NOVAPLUS/DR.REDDY'SDoxorubicin inj 10mg10 MG25155
47335-049-40Q2050Sun Pharmaceutical Global Fze.Doxorubicin inj 10mg10 MG10122
47335-050-40Q2050Sun Pharmaceutical Global Fze.Doxorubicin inj 10mg10 MG25155
59676-960-01Q2050Janssen Products, LPDoxorubicin inj 10mg10 MG10122
59676-960-02Q2050Janssen Products, LPDoxorubicin inj 10mg10 MG25155
59676-966-01Q2050Janssen Products, LPDoxorubicin inj 10mg10 MG10122
59676-966-02Q2050Janssen Products, LPDoxorubicin inj 10mg10 MG25155
68001-345-26Q2050BLUE POINT LABORATORIESDoxorubicin inj 10mg10 MG25155
59627-111-03Q3027BiogenInj beta interferon im 1 mcg1 MCG1430120
59627-222-05Q3027BiogenInj beta interferon im 1 mcg1 MCG1430120
59627-333-04Q3027BiogenInj beta interferon im 1 mcg1 MCG1430120
66215-302-30Q4074Actelion Pharmaceuticals U.S, IncIloprost non-comp unit doseUP TO 20 MCG130130
66215-303-30Q4074Actelion Pharmaceuticals U.S, IncIloprost non-comp unit doseUP TO 20 MCG130130
55513-126-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS11020200
55513-144-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS1101001000
55513-148-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS11040400
55513-267-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS11030300
55513-283-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS2102002000
55513-478-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS1102002000
59676-302-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1620120
59676-303-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1630180
59676-304-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1640240
59676-310-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS16100600
59676-310-02Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1251002500
59676-312-04Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS24200800
59676-320-04Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS14200800
59676-340-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS144001600
61314-304-01Q5101Sandoz, Inc.Inj filgrastim gcsf biosimil1 MCG0.51300300
61314-304-10Q5101Sandoz, Inc.Inj filgrastim gcsf biosimil1 MCG0.5103003000
61314-312-01Q5101Sandoz, Inc.Inj filgrastim gcsf biosimil1 MCG0.81480480
61314-312-10Q5101Sandoz, Inc.Inj filgrastim gcsf biosimil1 MCG0.8104804800
61314-318-01Q5101SANDOZInj filgrastim gcsf biosimil1 MCG0.51300300
61314-326-01Q5101SANDOZInj filgrastim gcsf biosimil1 MCG0.81480480
0069-0809-01Q5103Pfizer Inc.Injection, inflectra10 MG111010
0006-4305-02Q5104Merck Sharp & Dohme Corp.Injection, renflexis10 MG111010
0069-1305-10Q5105PFIZER LABSInj Retacrit esrd on dialysi100 UNITS11020200
0069-1306-10Q5105PFIZER LABSInj Retacrit esrd on dialysi100 UNITS11030300
0069-1307-10Q5105PFIZER LABSInj Retacrit esrd on dialysi100 UNITS11040400
0069-1308-10Q5105PFIZER LABSInj Retacrit esrd on dialysi100 UNITS1101001000
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