NDC 58284-0264-91 To HCPCS Mapping

NDC “58284-0264-91” To HCPCS Crosswalk(s)

Source NDC Code

Target HCPCS Code

58284-0264-91
BRIXADI MONTHLY 64 MG/0.18 ML SYRINGE

J0578
Injection, buprenorphine extended release (brixadi), greater than 7 days, up to 28 days of therapy

Detail Information

Relationship Start Date	04/01/2024
Relationship End Date	12/31/3999
Number Of Items In Ndc Package	0.18
Ndc Package Measure	ML
Ndc Package Type	SYRINGE
Route Of Administration	SQ
Billing Units	ML