NDC 59651-0167-30 To HCPCS Mapping

NDC “59651-0167-30” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code

Target HCPCS Code

59651-0167-30
EMTRICITABINE-TENOFOVIR DISOPROXIL FUMARATE FILM-COATED 167 MG-250 MG

J0750
EMTRICITABINE 200MG AND TENOFOVIR DISOPROXIL FUMARATE 300MG, ORAL, FDA APPROVED PRESCRIPTION, ONLY FOR USE AS HIV PRE-EXPOSURE PROPHYLAXIS (NOT FOR USE AS TREATMENT OF HIV)

Detail Information

Relationship Start Date	05/15/2025
Relationship End Date	99/99/9999
Number Of Items In Ndc Package	30
Ndc Package Measure	EA
Ndc Package Type	BO
Route Of Administration	PO
Billing Units	EA