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NDC 25021-0673-76 To HCPCS Mapping

NDC “25021-0673-76” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
25021-0673-76
GLYDO 2% JELLY SYRINGE 		⇄ J1551
Injection, immune globulin (cutaquig), 100 mg
Detail Information
Relationship Start Date 07/01/2022
Relationship End Date 09/30/2022
Number Of Items In Ndc Package 6
Ndc Package Measure ML
Ndc Package Type SYRINGE
Route Of Administration MM
Billing Units EA