J3430

Code

J3430

Description

Injection, phytonadione (vitamin k), per 1 mg

CMS HCPCS quarterly update

• 00404-9935-05 Phytonadione, Henry Schein Inc.. Billable units per 11-digit NDC: 1.
• 00404-9969-01 Phytonadione, Henry Schein Inc.. Billable units per 11-digit NDC: 10.
• 00409-9157-01 Vitamin K1, Pfizer Inc. Billable units per 11-digit NDC: 25.
• 00409-9158-01 Vitamin K1, Pfizer Inc. Billable units per 11-digit NDC: 250.
• 00409-9158-25 Vitamin K1, Pfizer Inc. Billable units per 11-digit NDC: 250.
• 43066-0132-10 Phytonadione, Baxter Healthcare Corp.. Billable units per 11-digit NDC: 10.
• 43598-0405-16 Phytonadione, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 250.
• 51662-1536-03 Vitamin K1, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 250.
• 51662-1537-03 Vitamin K1, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 25.
• 65219-0635-01 Phytonadione, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 100.
• 68462-0758-25 Phytonadione, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 250.
• 69097-0003-96 Phytonadione, Cipla USA, Inc.. Billable units per 11-digit NDC: 10.
• 69097-0708-96 Phytonadione, Cipla USA, Inc.. Billable units per 11-digit NDC: 100.
• 69097-0709-96 Phytonadione, Cipla USA, Inc.. Billable units per 11-digit NDC: 10.
• 70121-1682-07 Phytonadione, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 10.
• 70700-0331-25 Phytonadione, Xiromed, LLC. Billable units per 11-digit NDC: 250.

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