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
68084-220-01Q0162American Health PackagingOndansetron oral1 MG11004400
68084-221-01Q0162American Health PackagingOndansetron oral1 MG11008800
68462-105-30Q0162Glenmark Pharmaceutical Inc., USAOndansetron oral1 MG301120120
68462-106-30Q0162Glenmark Pharmaceutical Inc., USAOndansetron oral1 MG301240240
68462-157-13Q0162Glenmark Pharmaceutical Inc., USAOndansetron oral1 MG301120120
68462-158-11Q0162Glenmark Pharmaceutical Inc., USAOndansetron oral1 MG1018080
68462-158-13Q0162Glenmark Pharmaceutical Inc., USAOndansetron oral1 MG301240240
0093-9643-01Q0164Teva Pharmaceuticals USA, Inc.Prochlorperazine maleate 5mg5 MG1001100100
0093-9652-01Q0164Teva Pharmaceuticals USA, Inc.Prochlorperazine maleate 5mg5 MG1001200200
0378-5105-01Q0164Mylan Pharmaceuticals, IncProchlorperazine maleate 5mg5 MG1001100100
0378-5110-01Q0164Mylan Pharmaceuticals, IncProchlorperazine maleate 5mg5 MG1001200200
51079-541-20Q0164Mylan InstitutionalProchlorperazine maleate 5mg5 MG1001100100
51079-542-20Q0164Mylan InstitutionalProchlorperazine maleate 5mg5 MG1001200200
0093-7485-12Q0166Teva Pharmaceuticals USA, Inc.Granisetron hcl 1 mg oral1 MG1212
0093-7485-20Q0166Teva Pharmaceuticals USA, Inc.Granisetron hcl 1 mg oral1 MG120120
16714-221-01Q0166NorthStar Rx LLCGranisetron hcl 1 mg oral1 MG120120
16714-221-30Q0166NorthStar Rx LLCGranisetron hcl 1 mg oral1 MG1212
16714-221-32Q0166NorthStar Rx LLCGranisetron hcl 1 mg oral1 MG120120
51672-4138-6Q0166Taro PharmaceuticalsGranisetron hcl 1 mg oral1 MG2012020
0051-0021-21Q0167AbbVie US, LLCDronabinol 2.5mg oral2.5 MG6016060
0051-0022-21Q0167AbbVie US, LLCDronabinol 2.5mg oral2.5 MG601120120
0051-0023-21Q0167AbbVie US, LLCDronabinol 2.5mg oral2.5 MG601240240
60687-375-01Q0167AMERICAN HEALTH PACKAGINGDronabinol 2.5mg oral2.5 MG1001100100
67877-568-60Q0167Ascend LaboratoriesDronabinol 2.5mg oral2.5 MG6016060
67877-569-60Q0167Ascend LaboratoriesDronabinol 2.5mg oral2.5 MG601120120
67877-570-60Q0167Ascend LaboratoriesDronabinol 2.5mg oral2.5 MG601240240
68084-174-01Q0167American Health PackagingDronabinol 2.5mg oral2.5 MG1001100100
68084-175-21Q0167American Health PackagingDronabinol 2.5mg oral2.5 MG3016060
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
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
68001-345-36Q2050BLUE POINT LABORATORIESDoxorubicin inj 10mg10 MG10122
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
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