NDC 58284-0224-91 To HCPCS Mapping

NDC “58284-0224-91” To HCPCS Crosswalk(s)

Source NDC Code

Target HCPCS Code

58284-0224-91
BRIXADI WEEKLY 24 MG/0.48 ML SYRINGE

J0577
Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy

Detail Information

Relationship Start Date	04/01/2024
Relationship End Date	12/31/3999
Number Of Items In Ndc Package	0.48
Ndc Package Measure	ML
Ndc Package Type	SYRINGE
Route Of Administration	SQ
Billing Units	ML