HCPCS to NDC

HCPCS Code “q4075” To NDC Mapping Options

“q4075” To NDC Crosswalk(s)

Source HCPCS Code Target NDC Code
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 00074-4452-49
ACYCLOVIR SODIUM NOVATION (VIAL,FLIPTOP) 1000 MG
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 10/24/2003
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 00173-0952-01
ZOVIRAX 1000 MG
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 1/14/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 00173-0995-01
ZOVIRAX 500 MG
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
Q4075
⇄ 00703-8104-03
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
Q4075
⇄ 00703-8105-03
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
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 38779-0173-01
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 38779-0173-04
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 38779-0173-05
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 38779-0173-08
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 49452-0001-01
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 1/1/2004
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 49452-0001-02
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 11/15/2004
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 49452-0001-03
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 49452-0001-04
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 1/1/2004
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 49452-0001-05
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 1/1/2004
Relationship End Date 11/15/2004
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 51552-0671-01
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 51552-0671-02
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 51552-0671-03
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 51552-0671-04
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 51552-0671-05
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 51552-0671-06
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 51927-2994-00
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
⇄ 54569-5173-00
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
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 55390-0612-10
ACYCLOVIR SODIUM (PF) 500 MG
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 55390-0613-20
ACYCLOVIR SODIUM (PF) 1000 MG
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
Q4075
⇄ 59911-2463-02
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
Q4075
⇄ 59911-2464-02
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
Q4075
⇄ 59911-2465-02
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
Q4075
⇄ 59911-2466-02
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
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 61703-0311-21
ACYCLOVIR SODIUM (VIAL) 25 MG/ML
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 61703-0311-43
ACYCLOVIR SODIUM (VIAL) 25 MG/ML
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 40
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 62991-1004-01
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 62991-1004-02
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 62991-1004-03
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 11/1/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 63323-0105-10
ACYCLOVIR SODIUM (VIAL,PF) 500 MG
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 63323-0325-10
ACYCLOVIR SODIUM (S.D.V.,PF) 50 MG/ML
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 10
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 63323-0325-20
ACYCLOVIR SODIUM (S.D.V.,PF) 50 MG/ML
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VL
Route Of Administration IV
Billing Units ML
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 63370-0007-25
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 63370-0007-35
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM
Q4075
INJECTION, ACYCLOVIR, 5 MG 		⇄ 63370-0007-50
ACYCLOVIR (U.S.P.)
Detail Information
Relationship Start Date 10/1/2003
Relationship End Date 12/31/2005
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type BO
Route Of Administration NA
Billing Units GM