- Code
- J1957
- Description
- Injection, levetiracetam, 5 mg
NDC crosswalk
- 00143-9574-25 Levetiracetam, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 2500.
- 00143-9673-25 Levetiracetam, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 2500.
- 00409-1886-02 Levetiracetam, Pfizer Inc. Billable units per 11-digit NDC: 2500.
- 00409-2011-25 Levetiracetam, Pfizer Inc. Billable units per 11-digit NDC: 2500.
- 25021-0780-05 Levetiracetam, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1000.
- 50474-0002-63 Keppra, UCB, Inc.. Billable units per 11-digit NDC: 1000.
- 55150-0177-05 Levetiracetam, Eugia US LLC. Billable units per 11-digit NDC: 1000.
- 63323-0400-05 Levetiracetam, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
- 63323-0400-44 Levetiracetam, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
- 67457-0790-05 Levetiracetam, Mylan Institutional LLC. Billable units per 11-digit NDC: 1000.
- 72205-0120-07 Levetiracetam, Novadoz Pharmaceuticals LLC. Billable units per 11-digit NDC: 1000.
- 72205-0120-25 Levetiracetam, Novadoz Pharmaceuticals LLC. Billable units per 11-digit NDC: 2500.
- 72485-0106-10 Levetiracetam, Armas Pharmaceuticals Inc.. Billable units per 11-digit NDC: 1000.
- 72485-0106-25 Levetiracetam, Armas Pharmaceuticals Inc.. Billable units per 11-digit NDC: 2500.
- 72572-0360-25 Levetiracetam, Civica, Inc.. Billable units per 11-digit NDC: 2500.
Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.