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NDC 12496-0100-05 To HCPCS Mapping

NDC “12496-0100-05” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
12496-0100-05
SUBLOCADE 100 MG/0.5 ML SYR 		⇄ Q9991
Buprenorph xr 100 mg or less
Detail Information
Relationship Start Date 10/01/2020
Relationship End Date 12/31/3999
Number Of Items In Ndc Package 0.5
Ndc Package Measure ML
Ndc Package Type SYRINGE
Route Of Administration IJ
Billing Units ML