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NDC 63004-8711-01 To HCPCS Mapping

NDC “63004-8711-01” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
63004-8711-01
ACTHAR 80 UNIT/ML SELFJECT 		⇄ J0801
Injection, corticotropin (acthar gel), up to 40 units
Detail Information
Relationship Start Date 10/01/2023
Relationship End Date 12/31/3999
Number Of Items In Ndc Package 1
Ndc Package Measure ML
Ndc Package Type SYRINGE
Route Of Administration SQ
Billing Units ML