J3376 NDC Crosswalk, Billing Units, ASP Payment & Medicare Reimbursement

📋 J3376 summary

J3376 is a HCPCS Level II J-code used to bill vancomycin (hikma) 10mg, billed per 10 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Brand names associated with J3376: Vancomycin Hydrochloride

Code J3376 Billing unit 10 MG Payment limit $0.017/unit NDC-Crosswalk 5 Quarter Q3 2026 RxCUI Atlas Trace the drug concept →

⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.

🗂️ Key billing facts

HCPCS codeJ3376

DescriptorInj vancomycin (hikma) 10mg

Billing unit10 MG

Payment limit / unit$0.017

Est. ASP / unit$0.016 est.

Mapped NDCs5

Data periodQ3 2026

Last updated2026-09-20

💊 About Vancomycin Injection DRUG GUIDE

Vancomycin Hydrochloride for Injection given intravenously treats serious infections in adults and children under 18, including septicemia (bloodstream infection), infective endocarditis (heart valve infection), skin and skin structure infections, bone infections, and lower respiratory tract infections.

It is especially useful against methicillin-resistant Staphylococcus aureus (MRSA) and in patients who are allergic to penicillin.When given orally (by mouth), Vancomycin Hydrochloride for Injection treats Clostridioides difficile-associated diarrhea (C.

diff) and enterocolitis caused by Staphylococcus aureus in adults and children under 18.

Important: the oral route does NOT work for bloodstream or other systemic infections, and the intravenous route does NOT work for C.

Read the full Vancomycin Injection drug guide →

Clinical overview from our editorial drug guide for Vancomycin Injection. For billing reference, see the sections above.

🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026

📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).

Medicare payment limit / unit

$0.017

Est. ASP / unit

$0.016 est.

Est. after 2% sequester

$0.017

HCPCS dosage

10 MG

The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J3376 = 10 mg. Enter a regimen to convert dose → billing units and project a full course.

Dose per administration (mg) Frequency — every days Number of doses NDC / package billed (optional)

Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.

🔁 NDCs that bill under J3376 WITH EST. MEDICARE PAY

5 NDCs map to J3376. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.017/unit) × that package's bill units.

NDC (11-digit)	Drug	Labeler	Package	Strength	Bill units	Est. pay / pkg	NADAC / unit	Status	Source
00143-9161-10	VANCOMYCIN HYDROCHLORIDE 513 mg/mg INJECTION, POWDER, FOR SOLUTION	HIKMA	10 VIAL in 1 PACKAGE (0143-9161-10) / 513...	513 mg/mg	500	$8.50	—	● Active	CMS + PDAC
00143-9161-25	VANCOMYCIN HYDROCHLORIDE 513 mg/mg INJECTION, POWDER, FOR SOLUTION	HIKMA	25 VIAL in 1 PACKAGE (0143-9161-25) / 513...	513 mg/mg	1,250	$21.25	—	● Active	CMS + PDAC
00143-9162-10	VANCOMYCIN HYDROCHLORIDE 1025 mg/mg INJECTION, POWDER, FOR SOLUTION	HIKMA	10 VIAL in 1 PACKAGE (0143-9162-10) / 102...	1025 mg/mg	1,000	$17.00	—	● Active	CMS + PDAC
00143-9163-01	VANCOMYCIN HYDROCHLORIDE 5.13 g/g INJECTION, POWDER, FOR SOLUTION	HIKMA	1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON...	5.13 g/g	500	$8.50	—	● Active	CMS ASP
00143-9164-01	VANCOMYCIN HYDROCHLORIDE 10.25 g/g INJECTION, POWDER, FOR SOLUTION	HIKMA	1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON...	10.25 g/g	1,000	$17.00	—	● Active	CMS ASP

NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.

⚠️ Don't confuse J3376 with… RELATED CODES

Adjacent HCPCS codes that share an ingredient or formulation with J3376. Billing units and payment limits differ — confirm the exact code, strength and form before billing.

Code	Descriptor	Billing unit	Payment limit / unit	How it differs from J3376
J3370	Vancomycin hcl injection	—	—	Related ingredient or formulation — confirm strength, form and billing unit before substituting.
J3373	VANCOMYCIN*	10 MG	$0.033	Related ingredient or formulation — confirm strength, form and billing unit before substituting.
J3375	VANCOMYCIN*	10 MG	$0.142	Related ingredient or formulation — confirm strength, form and billing unit before substituting.
J3374	VANCOMYCIN HCL	10 MG	$0.097	Related ingredient or formulation — confirm strength, form and billing unit before substituting.
J3371	Inj, vancomycin hcl (mylan)	—	—	Related ingredient or formulation — confirm strength, form and billing unit before substituting.
J3372	Inj, vancomycin hcl (xellia)	—	—	Related ingredient or formulation — confirm strength, form and billing unit before substituting.

Related codes matched on shared ingredient (CMS Medicare Part B Spending feed). Billing units and payment limits from the CMS ASP Pricing File. Always verify the precise HCPCS code for the product and strength administered.

🗺️ Where J3376 is utilized

⏳

The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.

📊 What bills under J3376

J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.

NDC products by ingredient

vancomycin hydrochloride 2

NDC products by labeler

HIKMA PHARMACEUTICALS USA INC. 2

🔗 Related NDC directory pages

🧪 All Vancomycin Hydrochloride NDCsIngredient 🏭 All HIKMA labeler NDCsLabeler 00143 📚 All Glycopeptide Antibacterial NDCsDrug class

🗃️ Data sources & freshness

Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.

HCPCS code & descriptor

CMS HCPCS Level II code file

Not available in current dataset

Payment limit & billing unit

CMS Medicare Part B ASP Pricing File (quarterly)

Q3 2026 · as of 2026-09-20

NDC ↔ HCPCS crosswalk

CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)

5 NDCs mapped

NADAC acquisition cost

CMS National Average Drug Acquisition Cost (weekly)

Not available for mapped NDCs

Utilization & spend

CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners

No reportable utilization

Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.

⚠️ Practical billing caveats

A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.

❓ J3376 billing FAQ

What is HCPCS code J3376?

J3376 is a HCPCS Level II J-code used to bill Inj vancomycin (hikma) 10mg under Medicare Part B and most medical (not pharmacy) benefits.

What is the billing unit for J3376?

One unit of J3376 represents 10 MG. Report the number of units equal to the dose administered divided by 10 MG.

How many units of J3376 should I bill?

Divide the dose administered by the code's unit size (10 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.

How much does Medicare pay for J3376?

The Medicare Part B payment limit is $0.017 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.017 per unit. Payment limits are revised quarterly.

Which NDCs bill under J3376?

5 NDCs currently map to J3376 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.

Does a crosswalk mean J3376 is covered?

No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.

J3376 – Inj vancomycin (hikma) 10mg · NDC Crosswalk & Billing Units