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    HCPCS Details

    HCPC J3411
    Short Description Thiamine hcl 100 mg
    Long Description Injection, thiamine hcl, 100 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2004-01-01
    Date Added 2004-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00404996302 J3411 Thiamine hcl 100 mg Thiamine HCl HENRY SCHEIN, INC. 100 MG 2 1 2 2
    00641622825 J3411 Thiamine hcl 100 mg Thiamine HCl HIKMA PHARMACEUTICALS USA INC. 100 MG 2 25 2 50
    25021050002 J3411 Thiamine hcl 100 mg Thiamine HCl SAGENT PHARMACEUTICALS INC 100 MG 2 25 2 50
    43598005025 J3411 Thiamine hcl 100 mg Thiamine HCl DR.REDDY'S LABORATORIES, INC. 100 MG 2 25 2 50
    51662152301 J3411 Thiamine hcl 100 mg Thiamine HEALTHFIRST 100 MG 2 1 2 2
    51662152303 J3411 Thiamine hcl 100 mg Thiamine HEALTHFIRST 100 MG 2 25 2 50
    55150027325 J3411 Thiamine hcl 100 mg THIAMINE HYDROCHLORIDE EUGIA US LLC 100 MG 2 25 2 50
    63323001302 J3411 Thiamine hcl 100 mg Thiamine Hcl FRESENIUS KABI 100 MG 2 25 2 50
    63323001309 J3411 Thiamine hcl 100 mg Thiamine Hcl FRESENIUS KABI 100 MG 2 25 2 50
    63323001326 J3411 Thiamine hcl 100 mg Thiamine Hcl FRESENIUS KABI 100 MG 2 25 2 50
    67457019602 J3411 Thiamine hcl 100 mg Thiamine Hcl MYLAN INSTITUTIONAL LLC 100 MG 2 25 2 50
    72485050725 J3411 Thiamine hcl 100 mg Thiamine HCl ARMAS PHARMACEUTICALS, INC. 100 MG 2 25 2 50
    72603013925 J3411 Thiamine hcl 100 mg Thiamine HCl NORTHSTAR RX 100 MG 2 25 2 50
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 100 MG
    HCPCS/CPT Billing Units 0.01
    Total doses ordered
    Billing Units 0.01