J3374

Code

J3374

Description

Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg

CMS HCPCS quarterly update

• 00143-9152-10 Vancomycin HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1250.
• 00143-9153-10 Vancomycin HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1500.
• 25021-0147-20 Vancomycin HCl, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 750.
• 25021-0148-30 Vancomycin HCl, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1250.
• 25021-0149-30 Vancomycin HCl, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1500.
• 39822-0460-02 Vancomycin HCl, XGen Pharmaceuticals DJB, Inc.. Billable units per 11-digit NDC: 1250.
• 39822-0470-02 Vancomycin HCl, XGen Pharmaceuticals DJB, Inc.. Billable units per 11-digit NDC: 1500.
• 55150-0471-10 Vancomycin HCl, Eugia US LLC. Billable units per 11-digit NDC: 1250.
• 55150-0472-10 Vancomycin HCl, Eugia US LLC. Billable units per 11-digit NDC: 1500.
• 67457-0705-75 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 750.
• 67457-0823-99 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 1250.
• 67457-0824-99 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 1500.
• 68462-0477-74 Vancomycin HCl, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 750.
• 68462-0478-84 Vancomycin HCl, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 1250.
• 68462-0479-84 Vancomycin HCl, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 1500.
• 72078-0065-99 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 1750.
• 72078-0066-99 Vancomycin HCl, Mylan Institutional LLC. Billable units per 11-digit NDC: 2000.

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