HCPCS Level II

J0650

Injection, levothyroxine sodium, not otherwise specified, 10 mcg

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Code: J0650
Description: Injection, levothyroxine sodium, not otherwise specified, 10 mcg

CMS HCPCS quarterly update

NDC crosswalk

25021-0468-10 Levothyroxine Sodium, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 10.
25021-0469-10 Levothyroxine Sodium, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 20.
25021-0470-10 Levothyroxine Sodium, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 50.
42023-0201-01 Levothyroxine Sodium, Endo USA, Inc.. Billable units per 11-digit NDC: 10.
42023-0202-01 Levothyroxine Sodium, Endo USA, Inc.. Billable units per 11-digit NDC: 20.
42023-0203-01 Levothyroxine Sodium, Endo USA, Inc.. Billable units per 11-digit NDC: 50.
63323-0647-10 Levothyroxine Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 20.
63323-0648-10 Levothyroxine Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 50.
63323-0649-07 Levothyroxine Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 10.
63323-0649-16 Levothyroxine Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 10.
63323-0649-94 Levothyroxine Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 10.
70710-1833-01 Levothyroxine Sodium, Zydus Pharmaceuticals (Usa) Inc.. Billable units per 11-digit NDC: 10.
70710-1834-01 Levothyroxine Sodium, Zydus Pharmaceuticals (Usa) Inc.. Billable units per 11-digit NDC: 20.
70710-1835-01 Levothyroxine Sodium, Zydus Pharmaceuticals (Usa) Inc.. Billable units per 11-digit NDC: 50.
70860-0451-10 Levothyroxine Sodium, Athenex Pharmaceutical Division, LLC. Billable units per 11-digit NDC: 10.
70860-0452-10 Levothyroxine Sodium, Athenex Pharmaceutical Division, LLC. Billable units per 11-digit NDC: 20.
70860-0453-10 Levothyroxine Sodium, Athenex Pharmaceutical Division, LLC. Billable units per 11-digit NDC: 50.
72266-0261-01 Levothyroxine Sodium, Fosun Pharma USA Inc.. Billable units per 11-digit NDC: 10.

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

NDC crosswalk

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