HCPCS Level II

J3375

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

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Code: J3375
Description: Injection, vancomycin hydrochloride (tyzavan), not therapeutically equivalent to j3373, 10 mg

00143-9466-06 Tyzavan, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 750.
00143-9467-06 Tyzavan, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1050.
00143-9468-12 Tyzavan, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 900.
00143-9469-06 Tyzavan, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 900.
00143-9470-06 Tyzavan, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1200.
00143-9471-12 Tyzavan, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 600.
00143-9472-12 Tyzavan, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1200.
70594-0041-03 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 600.
70594-0042-03 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 1200.
70594-0043-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 900.
70594-0044-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 1200.
70594-0056-03 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 900.
70594-0057-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 750.
70594-0058-02 Vancomycin HCl, Xellia Pharmaceuticals USA, LLC.. Billable units per 11-digit NDC: 1050.

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