| Source HCPCS Code |
|
Target NDC Code |
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
00093-5985-27
EPINEPHRINE 0.15 MG/DELIVERY 0.15 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
00093-5986-27
EPINEPHRINE USP 0.3 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
00115-1694-49
EPINEPHRINE USP 0.3 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
00115-1695-49
EPINEPHRINE 0.15 MG/0.15 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
00517-3030-01
EPINEPHRINE MDV 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
|
⇄
|
42023-0159-01
ADRENALIN 1 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
|
⇄
|
42023-0159-25
ADRENALIN 1 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
|
⇄
|
42023-0168-01
ADRENALIN 30 MG/30 ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
42023-0168-89
PREMIERPRO RX ADRENALIN MDV 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
42023-0168-99
ADRENALIN NOVAPLUS MDV 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
49502-0101-02
EPINEPHRINE 0.15 MG/DELIVERY 0.15 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
|
⇄
|
49502-0102-01
EPINEPHRINE 0.3 MG AUTO-INJECT
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
49502-0102-02
EPINEPHRINE AUTO-INJECTORS 0.3 MG/DELIVERY 0.3 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
MR |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
49502-0500-02
EPIPEN AUTO-INJECTOR W/TRAINER DEVICE 0.3 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
60842-0021-01
AUVI-Q 0.1 MG/0.1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
60842-0021-02
AUVI-Q 0.1 MG/0.1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
60842-0022-01
AUVI-Q 0.15 MG/0.15 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
60842-0022-02
AUVI-Q 0.15 MG/0.15 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
60842-0023-01
AUVI-Q 0.3 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
60842-0023-02
AUVI-Q 0.3 MG/0.3 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
|
⇄
|
63323-0696-02
EPINEPHRINE 1 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
|
⇄
|
63323-0696-25
EPINEPHRINE 1 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
63323-0698-30
EPINEPHRINE MDV 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
|
⇄
|
68462-0760-10
EPINEPHRINE 10 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
INJECTION, EPINEPHRINE, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
76329-9060-00
EPINEPHRINE MDV;USP 1 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0165
Inj epinephrine nos 0.1 mg
|
⇄
|
00517-3030-01
Epinephrine HCl
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0165
Inj epinephrine nos 0.1 mg
|
⇄
|
50090-2058-00
Epinephrine HCl
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0165
Inj epinephrine nos 0.1 mg
|
⇄
|
50090-5569-00
Epinephrine HCl
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0165
Inj epinephrine nos 0.1 mg
|
⇄
|
42023-0168-01
Epinephrine HCl
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0165
Inj epinephrine nos 0.1 mg
|
⇄
|
42023-0168-89
Epinephrine HCl
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0165
Inj epinephrine nos 0.1 mg
|
⇄
|
42023-0168-99
Epinephrine HCl
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|