CPT/HCPCS Section
HCPCS J: Drugs Administered Other Than Oral
574 procedure codes with Medicare Physician Fee Schedule payment data. Click a code for Facility vs Non-Facility rates, allowed amounts and utilization.
J0120Injection, tetracycline, up to 250 mg$1→J0121Injection, omadacycline, 1 mg$3→J0122Injection, eravacycline, 1 mg$1→J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)$34→J0131Injection, acetaminophen, not otherwise specified,10 mg$0→J0132Injection, acetylcysteine, 100 mg$0→J0133Injection, acyclovir, 5 mg$0→J0136Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg$0→J0137Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg$0→J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)$0→J0171Injection, adrenalin, epinephrine, 0.1 mg$1→J0172Injection, aducanumab-avwa, 2 mg$2→J0173Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg$1→J0174Injection, lecanemab-irmb, 1 mg$1→J0175Injection, donanemab-azbt, 2 mg$3→J0177Injection, aflibercept hd, 1 mg$263→J0178Injection, aflibercept, 1 mg$655→J0179Injection, brolucizumab-dbll, 1 mg$256→J0180Injection, agalsidase beta, 1 mg$161→J0184Injection, amisulpride, 1 mg$7→J0185Injection, aprepitant, 1 mg$1→J0202Injection, alemtuzumab, 1 mg$1162→J0219Injection, avalglucosidase alfa-ngpt, 4 mg$60→J0222Injection, patisiran, 0.1 mg$78→J0223Injection, givosiran, 0.5 mg$87→J0225Injection, vutrisiran, 1 mg$3760→J0248Injection, remdesivir, 1 mg$5→J0256Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg$4→J0257Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg$4→J0278Injection, amikacin sulfate, 100 mg$1→J0280Injection, aminophyllin, up to 250 mg$6→J0282Injection, amiodarone hydrochloride, 30 mg$0→J0285Injection, amphotericin b, 50 mg$29→J0287Injection, amphotericin b lipid complex, 10 mg$9→J0289Injection, amphotericin b liposome, 10 mg$20→J0290Injection, ampicillin sodium, 500 mg$1→J0295Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm$1→J0348Injection, anidulafungin, 1 mg$0→J0349Injection, rezafungin, 1 mg$8→J0360Injection, hydralazine hcl, up to 20 mg$4→J0401Injection, aripiprazole (abilify maintena), 1 mg$3→J0402Injection, aripiprazole (abilify asimtufii), 1 mg$2→J0456Injection, azithromycin, 500 mg$2→J0457Injection, aztreonam, 100 mg$2→J0461Injection, atropine sulfate, 0.01 mg$0→J0475Injection, baclofen, 10 mg$132→J0476Injection, baclofen, 50 mcg for intrathecal trial$35→J0485Injection, belatacept, 1 mg$3→J0490Injection, belimumab, 10 mg$40→J0491Injection, anifrolumab-fnia, 1 mg$13→J0500Injection, dicyclomine hcl, up to 20 mg$16→J0517Injection, benralizumab, 1 mg$129→J0558Injection, penicillin g benzathine and penicillin g procaine, 100,000 units$12→J0561Injection, penicillin g benzathine, 100,000 units$17→J0565Injection, bezlotoxumab, 10 mg$31→J0578Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy$172→J0583Injection, bivalirudin, 1 mg$0→J0584Injection, burosumab-twza 1 mg$360→J0585Injection, onabotulinumtoxina, 1 unit$5→J0586Injection, abobotulinumtoxina, 5 units$6→J0587Injection, rimabotulinumtoxinb, 100 units$10→J0588Injection, incobotulinumtoxin a, 1 unit$4→J0589Injection, daxibotulinumtoxina-lanm, 1 unit$3→J0592Injection, buprenorphine hydrochloride, 0.1 mg$3→J0595Injection, butorphanol tartrate, 1 mg$2→J0596Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units$25→J0600Injection, edetate calcium disodium, up to 1000 mg$467→J0612Injection, calcium gluconate, not otherwise specified, 10 mg$0→J0613Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg$0→J0637Injection, caspofungin acetate, 5 mg$5→J0638Injection, canakinumab, 1 mg$90→J0640Injection, leucovorin calcium, per 50 mg$4→J0641Injection, levoleucovorin, not otherwise specified, 0.5 mg$0→J0642Injection, levoleucovorin (khapzory), 0.5 mg$1→J0665Injection, bupivicaine, not otherwise specified, 0.5 mg$0→J0670Injection, mepivacaine hydrochloride, per 10 ml$3→J0687Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg$1→J0688Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg$1→J0689Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg$1→J0690Injection, cefazolin sodium, 500 mg$1→J0692Injection, cefepime hydrochloride, 500 mg$1→J0694Injection, cefoxitin sodium, 1 gm$4→J0695Injection, ceftolozane 50 mg and tazobactam 25 mg$6→J0696Injection, ceftriaxone sodium, per 250 mg$0→J0697Injection, sterile cefuroxime sodium, per 750 mg$1→J0698Injection, cefotaxime sodium, per gm$6→J0701Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg$4→J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg$5→J0706Injection, caffeine citrate, 5 mg$3→J0712Injection, ceftaroline fosamil, 10 mg$3→J0713Injection, ceftazidime, per 500 mg$1→J0714Injection, ceftazidime and avibactam, 0.5 g/0.125 g$77→J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)$4→J0725Injection, chorionic gonadotropin, per 1,000 usp units$17→J0735Injection, clonidine hydrochloride, 1 mg$12→J0736Injection, clindamycin phosphate, 300 mg$2→J0737Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg$2→J0739Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)$4→J0740Injection, cidofovir, 375 mg$341→J0741Injection, cabotegravir and rilpivirine, 2mg/3mg$15→J0743Injection, cilastatin sodium; imipenem, per 250 mg$6→J0744Injection, ciprofloxacin for intravenous infusion, 200 mg$1→J0750Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)$1→J0751Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)$63→J0775Injection, collagenase, clostridium histolyticum, 0.01 mg$54→J0780Injection, prochlorperazine, up to 10 mg$3→J0791Injection, crizanlizumab-tmca, 5 mg$89→J0802Injection, corticotropin (ani), up to 40 units$2633→J0834Injection, cosyntropin, 0.25 mg$19→J0872Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg$0→J0873Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg$0→J0875Injection, dalbavancin, 5 mg$12→J0878Injection, daptomycin, 1 mg$0→J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)$2→J0882Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)$2→J0885Injection, epoetin alfa, (for non-esrd use), 1000 units$6→J0888Injection, epoetin beta, 1 microgram, (for non esrd use)$1→J0894Injection, decitabine, 1 mg$1→J0895Injection, deferoxamine mesylate, 500 mg$6→J0896Injection, luspatercept-aamt, 0.25 mg$31→J0897Injection, denosumab, 1 mg$20→J0945Injection, brompheniramine maleate, per 10 mg$0→J1000Injection, depo-estradiol cypionate, up to 5 mg$22→J1010Injection, methylprednisolone acetate, 1 mg$0→J1020Injection, methylprednisolone acetate, 20 mg$5→J1030Injection, methylprednisolone acetate, 40 mg$4→J1040Injection, methylprednisolone acetate, 80 mg$6→J1050Injection, medroxyprogesterone acetate, 1 mg$0→J1071Injection, testosterone cypionate, 1 mg$0→J1095Injection, dexamethasone 9 percent, intraocular, 1 microgram$1→J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg$102→J1097Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml$76→J1100Injection, dexamethasone sodium phosphate, 1 mg$0→J1110Injection, dihydroergotamine mesylate, per 1 mg$27→J1120Injection, acetazolamide sodium, up to 500 mg$19→J1160Injection, digoxin, up to 0.5 mg$8→J1170Injection, hydromorphone, up to 4 mg$3→J1171Injection, hydromorphone, 0.1 mg$0→J1190Injection, dexrazoxane hydrochloride, per 250 mg$74→J1200Injection, diphenhydramine hcl, up to 50 mg$1→J1201Injection, cetirizine hydrochloride, 0.5 mg$12→J1205Injection, chlorothiazide sodium, per 500 mg$47→J1212Injection, dmso, dimethyl sulfoxide, 50%, 50 ml$524→J1230Injection, methadone hcl, up to 10 mg$15→J1240Injection, dimenhydrinate, up to 50 mg$7→J1245Injection, dipyridamole, per 10 mg$3→J1250Injection, dobutamine hydrochloride, per 250 mg$7→J1270Injection, doxercalciferol, 1 mcg$0→J1300Injection, eculizumab, 10 mg$174→J1301Injection, edaravone, 1 mg$17→J1302Injection, sutimlimab-jome, 10 mg$14→J1303Injection, ravulizumab-cwvz, 10 mg$172→J1304Injection, tofersen, 1 mg$118→J1305Injection, evinacumab-dgnb, 5mg$143→J1306Injection, inclisiran, 1 mg$9→J1323Injection, elranatamab-bcmm, 1 mg$141→J1335Injection, ertapenem sodium, 500 mg$9→J1380Injection, estradiol valerate, up to 10 mg$5→J1434Injection, fosaprepitant (focinvez), 1 mg$2→J1437Injection, ferric derisomaltose, 10 mg$16→J1439Injection, ferric carboxymaltose, 1 mg$1→J1440Fecal microbiota, live - jslm, 1 ml$49→J1442Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram$1→J1447Injection, tbo-filgrastim, 1 microgram$0→J1448Injection, trilaciclib, 1mg$4→J1449Injection, eflapegrastim-xnst, 0.1 mg$21→J1450Injection fluconazole, 200 mg$2→J1453Injection, fosaprepitant, 1 mg$0→J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg$539→J1455Injection, foscarnet sodium, per 1000 mg$60→J1456Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg$1→J1459Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg$37→J1460Injection, gamma globulin, intramuscular, 1 cc$36→J1554Injection, immune globulin (asceniv), 500 mg$384→J1555Injection, immune globulin (cuvitru), 100 mg$12→J1556Injection, immune globulin (bivigam), 500 mg$58→J1557Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg$37→J1559Injection, immune globulin (hizentra), 100 mg$9→J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg$38→J1566Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg$62→J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg$36→J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg$35→J1570Injection, ganciclovir sodium, 500 mg$21→J1572Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg$41→J1575Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin$13→J1576Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg$52→J1580Injection, garamycin, gentamicin, up to 80 mg$2→J1596Injection, glycopyrrolate, 0.1 mg$0→J1602Injection, golimumab, 1 mg, for intravenous use$9→J1610Injection, glucagon hydrochloride, per 1 mg$140→J1611Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg$96→J1626Injection, granisetron hydrochloride, 100 mcg$0→J1627Injection, granisetron, extended-release, 0.1 mg$4→J1628Injection, guselkumab, 1 mg$58→J1630Injection, haloperidol, up to 5 mg$1→J1631Injection, haloperidol decanoate, per 50 mg$4→J1640Injection, hemin, 1 mg$25→J1642Injection, heparin sodium, (heparin lock flush), per 10 units$0→J1643Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units$2→J1644Injection, heparin sodium, per 1000 units$0→J1645Injection, dalteparin sodium, per 2500 iu$14→J1650Injection, enoxaparin sodium, 10 mg$0→J1652Injection, fondaparinux sodium, 0.5 mg$1→J1670Injection, tetanus immune globulin, human, up to 250 units$95→J1720Injection, hydrocortisone sodium succinate, up to 100 mg$14→J1740Injection, ibandronate sodium, 1 mg$19→J1745Injection, infliximab, excludes biosimilar, 10 mg$25→J1747Injection, spesolimab-sbzo, 1 mg$47→J1750Injection, iron dextran, 50 mg$13→J1756Injection, iron sucrose, 1 mg$0→J1786Injection, imiglucerase, 10 units$34→J1790Injection, droperidol, up to 5 mg$6→J1805Injection, esmolol hydrochloride, 10 mg$0→J1823Injection, inebilizumab-cdon, 1 mg$363→J1836Injection, metronidazole, 10 mg$0→J1885Injection, ketorolac tromethamine, per 15 mg$0→J1920Injection, labetalol hydrochloride, 5 mg$0→J1921Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg$1→J1930Injection, lanreotide, 1 mg$38→J1932Injection, lanreotide, (cipla), 1 mg$34→J1939Injection, bumetanide, 0.5 mg$0→J1940Injection, furosemide, up to 20 mg$0→J1944Injection, aripiprazole lauroxil, (aristada), 1 mg$2→J1950Injection, leuprolide acetate (for depot suspension), per 3.75 mg$991→J1952Leuprolide injectable, camcevi, 1 mg$45→J1953Injection, levetiracetam, 10 mg$0→J1954Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg$236→J1955Injection, levocarnitine, per 1 gm$22→J1956Injection, levofloxacin, 250 mg$1→J1961Injection, lenacapavir, 1 mg$9→J1980Injection, hyoscyamine sulfate, up to 0.25 mg$19→J2001Injection, lidocaine hcl for intravenous infusion, 10 mg$0→J2002Injection, lidocaine hcl in 5% dextrose, 1 mg$0→J2003Injection, lidocaine hydrochloride, 1 mg$0→J2004Injection, lidocaine hcl with epinephrine, 1 mg$0→J2010Injection, lincomycin hcl, up to 300 mg$7→J2020Injection, linezolid, 200 mg$2→J2060Injection, lorazepam, 2 mg$1→J2150Injection, mannitol, 25% in 50 ml$2→J2175Injection, meperidine hydrochloride, per 100 mg$5→J2182Injection, mepolizumab, 1 mg$23→J2185Injection, meropenem, 100 mg$0→J2248Injection, micafungin sodium, 1 mg$0→J2250Injection, midazolam hydrochloride, per 1 mg$0→J2253Injection, midazolam (seizalam), 1 mg$0→J2267Injection, mirikizumab-mrkz, 1 mg$28→J2270Injection, morphine sulfate, up to 10 mg$3→J2272Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg$5→J2274Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg$9→J2278Injection, ziconotide, 1 microgram$7→J2280Injection, moxifloxacin, 100 mg$7→J2300Injection, nalbuphine hydrochloride, per 10 mg$2→J2305Injection, nitroglycerin, 5 mg$1→J2310Injection, naloxone hydrochloride, per 1 mg$6→J2315Injection, naltrexone, depot form, 1 mg$2→J2323Injection, natalizumab, 1 mg$17→J2327Injection, risankizumab-rzaa, intravenous, 1 mg$11→J2329Injection, ublituximab-xiiy, 1mg$49→J2350Injection, ocrelizumab, 1 mg$43→J2353Injection, octreotide, depot form for intramuscular injection, 1 mg$164→J2356Injection, tezepelumab-ekko, 1 mg$14→J2357Injection, omalizumab, 5 mg$29→J2360Injection, orphenadrine citrate, up to 60 mg$6→J2371Injection, phenylephrine hydrochloride, 20 micrograms$0→J2372Injection, phenylephrine hydrochloride (biorphen), 20 micrograms$0→J2401Injection, chloroprocaine hydrochloride, per 1 mg$0→J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg$1→J2405Injection, ondansetron hydrochloride, per 1 mg$0→J2406Injection, oritavancin (kimyrsa), 10 mg$32→J2407Injection, oritavancin (orbactiv), 10 mg$22→J2426Injection, paliperidone palmitate extended release (invega sustenna), 1 mg$8→J2427Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg$6→J2430Injection, pamidronate disodium, per 30 mg$9→J2440Injection, papaverine hcl, up to 60 mg$25→J2468Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to j2469, 25 micrograms$47→J2469Injection, palonosetron hcl, 25 mcg$1→J2470Injection, pantoprazole sodium, 40 mg$3→J2471Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg$4→J2501Injection, paricalcitol, 1 mcg$0→J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg$52→J2507Injection, pegloticase, 1 mg$2636→J2540Injection, penicillin g potassium, up to 600,000 units$1→J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)$1→J2545Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg$59→J2550Injection, promethazine hcl, up to 50 mg$2→J2562Injection, plerixafor, 1 mg$60→J2597Injection, desmopressin acetate, per 1 mcg$4→J2598Injection, vasopressin, 1 unit$1→J2599Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit$0→J2675Injection, progesterone, per 50 mg$1→J2680Injection, fluphenazine decanoate, up to 25 mg$6→J2704Injection, propofol, 10 mg$0→J2720Injection, protamine sulfate, per 10 mg$1→J2760Injection, phentolamine mesylate, up to 5 mg$134→J2765Injection, metoclopramide hcl, up to 10 mg$1→J2777Injection, faricimab-svoa, 0.1 mg$27→J2778Injection, ranibizumab, 0.1 mg$126→J2779Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg$62→J2780Injection, ranitidine hydrochloride, 25 mg$9→J2781Injection, pegcetacoplan, intravitreal, 1 mg$117→J2782Injection, avacincaptad pegol, 0.1 mg$86→J2783Injection, rasburicase, 0.5 mg$287→J2785Injection, regadenoson, 0.1 mg$6→J2786Injection, reslizumab, 1 mg$8→J2787Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml$1635→J2790Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)$54→J2791Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu$3→J2794Injection, risperidone (risperdal consta), 0.5 mg$7→J2795Injection, ropivacaine hydrochloride, 1 mg$0→J2796Injection, romiplostim, 10 micrograms$77→J2798Injection, risperidone, (perseris), 0.5 mg$2→J2799Injection, risperidone (uzedy), 1 mg$7→J2800Injection, methocarbamol, up to 10 ml$5→J2805Injection, sincalide, 5 micrograms$96→J2820Injection, sargramostim (gm-csf), 50 mcg$47→J2850Injection, secretin, synthetic, human, 1 microgram$26→J2860Injection, siltuximab, 10 mg$116→J2916Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg$2→J2919Injection, methylprednisolone sodium succinate, 5 mg$0→J2920Injection, methylprednisolone sodium succinate, up to 40 mg$3→J2930Injection, methylprednisolone sodium succinate, up to 125 mg$4→J2997Injection, alteplase recombinant, 1 mg$70→J3000Injection, streptomycin, up to 1 gm$16→J3010Injection, fentanyl citrate, 0.1 mg$1→J3032Injection, eptinezumab-jjmr, 1 mg$14→J3055Injection, talquetamab-tgvs, 0.25 mg$52→J3095Injection, telavancin, 10 mg$5→J3105Injection, terbutaline sulfate, up to 1 mg$4→J3111Injection, romosozumab-aqqg, 1 mg$8→J3121Injection, testosterone enanthate, 1 mg$0→J3145Injection, testosterone undecanoate, 1 mg$1→J3240Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial$1484→J3241Injection, teprotumumab-trbw, 10 mg$254→J3243Injection, tigecycline, 1 mg$0→J3245Injection, tildrakizumab, 1 mg$107→J3247Injection, secukinumab, intravenous, 1 mg$14→J3250Injection, trimethobenzamide hcl, up to 200 mg$31→J3260Injection, tobramycin sulfate, up to 80 mg$2→J3262Injection, tocilizumab, 1 mg$5→J3263Injection, toripalimab-tpzi, 1 mg$29→J3299Injection, triamcinolone acetonide (xipere), 1 mg$38→J3300Injection, triamcinolone acetonide, preservative free, 1 mg$4→J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg$1→J3303Injection, triamcinolone hexacetonide, per 5 mg$7→J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg$13→J3315Injection, triptorelin pamoate, 3.75 mg$338→J3357Ustekinumab, for subcutaneous injection, 1 mg$85→J3358Ustekinumab, for intravenous injection, 1 mg$10→J3360Injection, diazepam, up to 5 mg$4→J3370Injection, vancomycin hcl, 500 mg$2→J3371Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg$5→J3380Injection, vedolizumab, intravenous, 1 mg$17→J3385Injection, velaglucerase alfa, 100 units$282→J3396Injection, verteporfin, 0.1 mg$9→J3410Injection, hydroxyzine hcl, up to 25 mg$9→J3411Injection, thiamine hcl, 100 mg$2→J3415Injection, pyridoxine hcl, 100 mg$11→J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg$1→J3424Injection, hydroxocobalamin, intravenous, 25 mg$4→J3425Injection, hydroxocobalamin, intramuscular, 10 mcg$0→J3430Injection, phytonadione (vitamin k), per 1 mg$2→J3465Injection, voriconazole, 10 mg$1→J3470Injection, hyaluronidase, up to 150 units$43→J3471Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)$0→J3473Injection, hyaluronidase, recombinant, 1 usp unit$0→J3475Injection, magnesium sulfate, per 500 mg$0→J3480Injection, potassium chloride, per 2 meq$0→J3489Injection, zoledronic acid, 1 mg$5→J3490Unclassified drugs$92→J3590Unclassified biologics$355→J7030Infusion, normal saline solution , 1000 cc$2→J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)$1→J70425% dextrose/normal saline (500 ml = 1 unit)$1→J7050Infusion, normal saline solution, 250 cc$1→J70605% dextrose/water (500 ml = 1 unit)$1→J7070Infusion, d5w, 1000 cc$3→J7120Ringers lactate infusion, up to 1000 cc$2→J71215% dextrose in lactated ringers infusion, up to 1000 cc$4→J7131Hypertonic saline solution, 1 ml$4→J7170Injection, emicizumab-kxwh, 0.5 mg$42→J7179Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco$1→J7183Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco$1→J7185Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.$1→J7186Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.$2→J7187Injection, von willebrand factor complex (humate-p), per iu vwf:rco$1→J7189Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram$2→J7190Factor viii (antihemophilic factor, human) per i.u.$1→J7192Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified$1→J7195Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified$1→J7201Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.$3→J7202Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.$5→J7203Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu$4→J7205Injection, factor viii fc fusion protein (recombinant), per iu$2→J7207Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.$2→J7208Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.$2→J7209Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.$1→J7211Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.$1→J7214Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.$4→J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)$303→J7312Injection, dexamethasone, intravitreal implant, 0.1 mg$160→J7313Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg$380→J7314Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg$410→J7315Mitomycin, ophthalmic, 0.2 mg$138→J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg$5→J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg$4→J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose$40→J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg$14→J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose$91→J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose$95→J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg$7→J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose$404→J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose$535→J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg$0→J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg$6→J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg$8→J7332Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg$8→J7336Capsaicin 8% patch, per square centimeter$3→J7342Instillation, ciprofloxacin otic suspension, 6 mg$40→J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg$1→J7351Injection, bimatoprost, intracameral implant, 1 microgram$162→J7354Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)$388→J7355Injection, travoprost, intracameral implant, 1 microgram$152→J7402Mometasone furoate sinus implant, (sinuva), 10 micrograms$9→J7512Prednisone, immediate release or delayed release, oral, 1 mg$0→J7605Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms$1→J7606Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms$2→J7608Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram$6→J7611Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg$0→J7612Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg$0→J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg$0→J7614Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg$0→J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme$0→J7626Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg$1→J7631Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams$1→J7644Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram$0→J7665Mannitol, administered through an inhaler, 5 mg$1→J7674Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg$1→J7677Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram$0→J7799Noc drugs, other than inhalation drugs, administered through dme$368→J7999Compounded drug, not otherwise classified$86→J9000Injection, doxorubicin hydrochloride, 10 mg$3→J9017Injection, arsenic trioxide, 1 mg$9→J9022Injection, atezolizumab, 10 mg$66→J9023Injection, avelumab, 10 mg$73→J9025Injection, azacitidine, 1 mg$0→J9029Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose$33976→J9030Bcg live intravesical instillation, 1 mg$2→J9032Injection, belinostat, 10 mg$39→J9033Injection, bendamustine hcl (treanda), 1 mg$5→J9034Injection, bendamustine hcl (bendeka), 1 mg$11→J9035Injection, bevacizumab, 10 mg$54→J9036Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg$9→J9039Injection, blinatumomab, 1 microgram$116→J9040Injection, bleomycin sulfate, 15 units$17→J9041Injection, bortezomib, 0.1 mg$1→J9042Injection, brentuximab vedotin, 1 mg$185→J9043Injection, cabazitaxel, 1 mg$165→J9045Injection, carboplatin, 50 mg$3→J9046Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg$11→J9047Injection, carfilzomib, 1 mg$38→J9049Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg$1→J9055Injection, cetuximab, 10 mg$57→J9056Injection, bendamustine hydrochloride (vivimusta), 1 mg$24→J9058Injection, bendamustine hydrochloride (apotex), 1 mg$15→J9059Injection, bendamustine hydrochloride (baxter), 1 mg$16→J9060Injection, cisplatin, powder or solution, 10 mg$3→J9061Injection, amivantamab-vmjw, 2 mg$16→J9063Injection, mirvetuximab soravtansine-gynx, 1 mg$52→J9065Injection, cladribine, per 1 mg$12→J9070Cyclophosphamide, 100 mg$16→J9071Injection, cyclophosphamide (auromedics), 5 mg$1→J9072Injection, cyclophosphamide (dr. reddy's), 5 mg$6→J9073Injection, cyclophosphamide (ingenus), 5 mg$1→J9074Injection, cyclophosphamide (sandoz), 5 mg$3→J9075Injection, cyclophosphamide, not otherwise specified, 5 mg$1→J9100Injection, cytarabine, 100 mg$0→J9119Injection, cemiplimab-rwlc, 1 mg$22→J9130Dacarbazine, 100 mg$3→J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj$39→J9145Injection, daratumumab, 10 mg$49→J9153Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine$182→J9155Injection, degarelix, 1 mg$3→J9171Injection, docetaxel, 1 mg$1→J9172Injection, docetaxel (docivyx), 1 mg$42→J9173Injection, durvalumab, 10 mg$63→J9176Injection, elotuzumab, 1 mg$6→J9177Injection, enfortumab vedotin-ejfv, 0.25 mg$28→J9178Injection, epirubicin hcl, 2 mg$1→J9179Injection, eribulin mesylate, 0.1 mg$106→J9181Injection, etoposide, 10 mg$1→J9185Injection, fludarabine phosphate, 50 mg$144→J9190Injection, fluorouracil, 500 mg$1→J9196Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg$6→J9198Injection, gemcitabine hydrochloride, (infugem), 100 mg$29→J9200Injection, floxuridine, 500 mg$2045→J9201Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg$3→J9202Goserelin acetate implant, per 3.6 mg$482→J9203Injection, gemtuzumab ozogamicin, 0.1 mg$179→J9204Injection, mogamulizumab-kpkc, 1 mg$185→J9205Injection, irinotecan liposome, 1 mg$49→J9206Injection, irinotecan, 20 mg$2→J9207Injection, ixabepilone, 1 mg$103→J9208Injection, ifosfamide, 1 gram$20→J9209Injection, mesna, 200 mg$1→J9217Leuprolide acetate (for depot suspension), 7.5 mg$138→J9223Injection, lurbinectedin, 0.1 mg$157→J9227Injection, isatuximab-irfc, 10 mg$60→J9228Injection, ipilimumab, 1 mg$135→J9229Injection, inotuzumab ozogamicin, 0.1 mg$2019→J9245Injection, melphalan hydrochloride, not otherwise specified, 50 mg$123→J9250Methotrexate sodium, 5 mg$0→J9255Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg$6→J9259Injection, paclitaxel protein-bound particles (american regent), not therapeutically equivalent to j9264, 1 mg$12→J9260Injection, methotrexate sodium, 50 mg$1→J9263Injection, oxaliplatin, 0.5 mg$0→J9264Injection, paclitaxel protein-bound particles, 1 mg$11→J9267Injection, paclitaxel, 1 mg$0→J9268Injection, pentostatin, 10 mg$1903→J9271Injection, pembrolizumab, 1 mg$44→J9272Injection, dostarlimab-gxly, 10 mg$184→J9273Injection, tisotumab vedotin-tftv, 1 mg$139→J9274Injection, tebentafusp-tebn, 1 microgram$165→J9280Injection, mitomycin, 5 mg$44→J9281Mitomycin pyelocalyceal instillation, 1 mg$230→J9286Injection, glofitamab-gxbm, 2.5 mg$2158→J9293Injection, mitoxantrone hydrochloride, per 5 mg$36→J9294Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg$4→J9297Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg$1→J9298Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg$146→J9299Injection, nivolumab, 1 mg$24→J9301Injection, obinutuzumab, 10 mg$56→J9303Injection, panitumumab, 10 mg$120→J9304Injection, pemetrexed (pemfexy), 10 mg$45→J9305Injection, pemetrexed, not otherwise specified, 10 mg$4→J9306Injection, pertuzumab, 1 mg$12→J9307Injection, pralatrexate, 1 mg$245→J9308Injection, ramucirumab, 5 mg$54→J9309Injection, polatuzumab vedotin-piiq, 1 mg$99→J9311Injection, rituximab 10 mg and hyaluronidase$29→J9312Injection, rituximab, 10 mg$60→J9314Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg$10→J9316Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg$51→J9317Injection, sacituzumab govitecan-hziy, 2.5 mg$27→J9319Injection, romidepsin, lyophilized, 0.1 mg$24→J9321Injection, epcoritamab-bysp, 0.16 mg$42→J9322Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg$7→J9324Injection, pemetrexed (pemrydi rtu), 10 mg$63→J9325Injection, talimogene laherparepvec, per 1 million plaque forming units$54→J9330Injection, temsirolimus, 1 mg$24→J9332Injection, efgartigimod alfa-fcab, 2mg$25→J9333Injection, rozanolixizumab-noli, 1 mg$18→J9334Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc$26→J9345Injection, retifanlimab-dlwr, 1 mg$23→J9347Injection, tremelimumab-actl, 1 mg$106→J9349Injection, tafasitamab-cxix, 2 mg$11→J9350Injection, mosunetuzumab-axgb, 1 mg$494→J9351Injection, topotecan, 0.1 mg$1→J9352Injection, trabectedin, 0.1 mg$271→J9353Injection, margetuximab-cmkb, 5 mg$37→J9354Injection, ado-trastuzumab emtansine, 1 mg$30→J9355Injection, trastuzumab, excludes biosimilar, 10 mg$61→J9356Injection, trastuzumab, 10 mg and hyaluronidase-oysk$51→J9357Injection, valrubicin, intravesical, 200 mg$1085→J9358Injection, fam-trastuzumab deruxtecan-nxki, 1 mg$21→J9359Injection, loncastuximab tesirine-lpyl, 0.075 mg$159→J9360Injection, vinblastine sulfate, 1 mg$3→J9370Vincristine sulfate, 1 mg$6→J9380Injection, teclistamab-cqyv, 0.5 mg$24→J9390Injection, vinorelbine tartrate, 10 mg$6→J9393Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg$13→J9394Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg$27→J9395Injection, fulvestrant, 25 mg$6→J9400Injection, ziv-aflibercept, 1 mg$5→J9999Not otherwise classified, antineoplastic drugs$513→