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NDC 65219-0624-04 To HCPCS Mapping

NDC “65219-0624-04” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
65219-0624-04
ACYCLOVIR 1,000 MG/20 ML VIAL 		⇄ J0133
Injection, acyclovir, 5 mg
Detail Information
Relationship Start Date 07/07/2025
Relationship End Date 12/31/3999
Number Of Items In Ndc Package 20
Ndc Package Measure ML
Ndc Package Type VIAL
Route Of Administration IV
Billing Units ML