J0133

Code

J0133

Description

Injection, acyclovir, 5 mg

CMS HCPCS quarterly update

• 55150-0154-10 Acyclovir Sodium, Eugia US LLC. Billable units per 11-digit NDC: 1000.
• 55150-0155-20 Acyclovir Sodium, Eugia US LLC. Billable units per 11-digit NDC: 2000.
• 63323-0325-10 Acyclovir Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0325-14 Acyclovir Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0325-20 Acyclovir Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 2000.
• 63323-0325-24 Acyclovir Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 2000.
• 65219-0622-10 Acyclovir Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 65219-0624-20 Acyclovir Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 2000.
• 70436-0030-82 Acyclovir Sodium, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 1000.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.