- Code
- J1165
- Description
- Injection, phenytoin sodium, per 50 mg
NDC crosswalk
- 00404-9808-05 Phenytoin Sodium, Henry Schein Inc.. Billable units per 11-digit NDC: 5.
- 00404-9932-02 Phenytoin Sodium, Henry Schein Inc.. Billable units per 11-digit NDC: 2.
- 00404-9933-05 Phenytoin Sodium, Henry Schein Inc.. Billable units per 11-digit NDC: 5.
- 00641-0493-25 Phenytoin Sodium, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 50.
- 00641-2555-10 Phenytoin Sodium, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 50.
- 00641-6138-25 Phenytoin Sodium, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 50.
- 00641-6139-10 Phenytoin Sodium, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 50.
- 51662-1251-01 Phenytoin Sodium, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 2.
- 51662-1251-03 Phenytoin Sodium, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 50.
Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.