List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Code	Short Description	Long Description
J0120	Tetracyclin injection	Injection, tetracycline, up to 250 mg
J0121	Inj., omadacycline, 1 mg	Injection, omadacycline, 1 mg
J0122	Inj., eravacycline, 1 mg	Injection, eravacycline, 1 mg
J0129	Abatacept injection	Injection, 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)
J0130	Abciximab injection	Injection abciximab, 10 mg
J0131	Inj, acetaminophen (nos)	Injection, acetaminophen, not otherwise specified,10 mg
J0132	Acetylcysteine injection	Injection, acetylcysteine, 100 mg
J0133	Acyclovir injection	Injection, acyclovir, 5 mg
J0134	Inj acetaminophen -fresenius	Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg
J0135	Adalimumab injection	Injection, adalimumab, 20 mg
J0136	Inj, acetaminophen (b braun)	Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg
J0137	Inj, acetaminophen (hikma)	Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg
J0150	Injection adenosine 6 mg	Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)
J0151	Inj adenosine diag 1mg	Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)
J0153	Adenosine inj 1mg	Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)
J0171	Adrenalin epinephrine inject	Injection, adrenalin, epinephrine, 0.1 mg
J0172	Inj, aducanumab-avwa, 2 mg	Injection, aducanumab-avwa, 2 mg
J0173	Inj, epinephrine (belcher)	Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg
J0174	Inj, lecanemab-irmb, 1 mg	Injection, lecanemab-irmb, 1 mg
J0177	Inj, aflibercept hd, 1 mg	Injection, aflibercept hd, 1 mg
J0178	Aflibercept injection	Injection, aflibercept, 1 mg
J0179	Inj, brolucizumab-dbll, 1 mg	Injection, brolucizumab-dbll, 1 mg
J0180	Agalsidase beta injection	Injection, agalsidase beta, 1 mg
J0184	Inj, amisulpride, 1 mg	Injection, amisulpride, 1 mg
J0185	Inj., aprepitant, 1 mg	Injection, aprepitant, 1 mg
J0190	Inj biperiden lactate/5 mg	Injection, biperiden lactate, per 5 mg
J0200	Alatrofloxacin mesylate	Injection, alatrofloxacin mesylate, 100 mg
J0202	Injection, alemtuzumab	Injection, alemtuzumab, 1 mg
J0205	Alglucerase injection	Injection, alglucerase, per 10 units
J0206	Inj allopurinol sodium 1 mg	Injection, allopurinol sodium, 1 mg
J0207	Amifostine	Injection, amifostine, 500 mg
J0208	Inj, pedmark, 100 mg	Injection, sodium thiosulfate (pedmark), 100 mg
J0209	Inj, sod thiosulfate (hope)	Injection, sodium thiosulfate (hope), 100 mg
J0210	Methyldopate hcl injection	Injection, methyldopate hcl, up to 250 mg
J0211	Inj, nithiodote, 3mg / 125mg	Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)
J0215	Alefacept	Injection, alefacept, 0.5 mg
J0216	Inj, alfentanil hcl, 500mcg	Injection, alfentanil hydrochloride, 500 micrograms
J0217	Inj velmanase alfa-tycv 1 mg	Injection, velmanase alfa-tycv, 1 mg
J0218	Inj olipudase alfa-rpcp 1mg	Injection, olipudase alfa-rpcp, 1 mg
J0219	Inj aval alfa-nqpt 4mg	Injection, avalglucosidase alfa-ngpt, 4 mg
J0220	Alglucosidase alfa injection	Injection, alglucosidase alfa, 10 mg, not otherwise specified
J0221	Lumizyme injection	Injection, alglucosidase alfa, (lumizyme), 10 mg
J0222	Inj., patisiran, 0.1 mg	Injection, patisiran, 0.1 mg
J0223	Inj givosiran 0.5 mg	Injection, givosiran, 0.5 mg
J0224	Inj. lumasiran, 0.5 mg	Injection, lumasiran, 0.5 mg
J0225	Inj, vutrisiran, 1 mg	Injection, vutrisiran, 1 mg
J0248	Inj, remdesivir, 1 mg	Injection, remdesivir, 1 mg
J0256	Alpha 1 proteinase inhibitor	Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg
J0257	Glassia injection	Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
J0270	Alprostadil for injection	Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
J0275	Alprostadil urethral suppos	Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
J0278	Amikacin sulfate injection	Injection, amikacin sulfate, 100 mg
J0280	Aminophyllin 250 mg inj	Injection, aminophyllin, up to 250 mg
J0282	Amiodarone hcl	Injection, amiodarone hydrochloride, 30 mg
J0283	Inj, amiodarone (nexterone)	Injection, amiodarone hydrochloride (nexterone), 30 mg
J0285	Amphotericin b	Injection, amphotericin b, 50 mg
J0287	Amphotericin b lipid complex	Injection, amphotericin b lipid complex, 10 mg
J0288	Ampho b cholesteryl sulfate	Injection, amphotericin b cholesteryl sulfate complex, 10 mg
J0289	Amphotericin b liposome inj	Injection, amphotericin b liposome, 10 mg
J0290	Ampicillin 500 mg inj	Injection, ampicillin sodium, 500 mg
J0291	Inj., plazomicin, 5 mg	Injection, plazomicin, 5 mg
J0295	Ampicillin sulbactam 1.5 gm	Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm
J0300	Amobarbital 125 mg inj	Injection, amobarbital, up to 125 mg
J0330	Succinycholine chloride inj	Injection, succinylcholine chloride, up to 20 mg
J0348	Anidulafungin injection	Injection, anidulafungin, 1 mg
J0349	Inj, rezafungin, 1 mg	Injection, rezafungin, 1 mg
J0350	Injection anistreplase 30 u	Injection, anistreplase, per 30 units
J0360	Hydralazine hcl injection	Injection, hydralazine hcl, up to 20 mg
J0364	Apomorphine hydrochloride	Injection, apomorphine hydrochloride, 1 mg
J0365	Aprotonin, 10,000 kiu	Injection, aprotonin, 10,000 kiu
J0380	Inj metaraminol bitartrate	Injection, metaraminol bitartrate, per 10 mg
J0390	Chloroquine injection	Injection, chloroquine hydrochloride, up to 250 mg
J0391	Inj, artesunate, 1mg	Injection, artesunate, 1 mg
J0395	Arbutamine hcl injection	Injection, arbutamine hcl, 1 mg
J0400	Aripiprazole injection	Injection, aripiprazole, intramuscular, 0.25 mg
J0401	Inj, abilify maintena, 1 mg	Injection, aripiprazole (abilify maintena), 1 mg
J0402	Inj, abilify asimtufii, 1 mg	Injection, aripiprazole (abilify asimtufii), 1 mg
J0456	Azithromycin	Injection, azithromycin, 500 mg
J0457	Injection, aztreonam, 100 mg	Injection, aztreonam, 100 mg
J0461	Atropine sulfate injection	Injection, atropine sulfate, 0.01 mg
J0470	Dimecaprol injection	Injection, dimercaprol, per 100 mg
J0475	Baclofen 10 mg injection	Injection, baclofen, 10 mg
J0476	Baclofen intrathecal trial	Injection, baclofen, 50 mcg for intrathecal trial
J0480	Basiliximab	Injection, basiliximab, 20 mg
J0485	Belatacept injection	Injection, belatacept, 1 mg
J0490	Belimumab injection	Injection, belimumab, 10 mg
J0491	Inj anifrolumab-fnia 1mg	Injection, anifrolumab-fnia, 1 mg
J0500	Dicyclomine injection	Injection, dicyclomine hcl, up to 20 mg
J0515	Inj benztropine mesylate	Injection, benztropine mesylate, per 1 mg
J0517	Inj., benralizumab, 1 mg	Injection, benralizumab, 1 mg
J0520	Bethanechol chloride inject	Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg
J0558	Peng benzathine/procaine inj	Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
J0561	Penicillin g benzathine inj	Injection, penicillin g benzathine, 100,000 units
J0565	Inj, bezlotoxumab, 10 mg	Injection, bezlotoxumab, 10 mg
J0567	Inj., cerliponase alfa 1 mg	Injection, cerliponase alfa, 1 mg
J0570	Buprenorphine implant 74.2mg	Buprenorphine implant, 74.2 mg
J0571	Buprenorphine oral 1mg	Buprenorphine, oral, 1 mg
J0572	Bupren/nal up to 3mg bupreno	Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine
J0573	Bupren/nal 3.1 to 6mg bupren	Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine
J0574	Bupren/nal 6.1 to 10mg bupre	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine
J0575	Bupren/nal over 10mg bupreno	Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine
J0576	Inj buprenorph (brixadi) 1mg	Injection, buprenorphine extended-release (brixadi), 1 mg
J0577	Inj, brixadi, 7 days or less	Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy
J0578	Inj brixadi, more than 7 day	Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy
J0583	Bivalirudin	Injection, bivalirudin, 1 mg
J0584	Injection, burosumab-twza 1m	Injection, burosumab-twza 1 mg
J0585	Injection,onabotulinumtoxina	Injection, onabotulinumtoxina, 1 unit
J0586	Abobotulinumtoxina	Injection, abobotulinumtoxina, 5 units
J0587	Inj, rimabotulinumtoxinb	Injection, rimabotulinumtoxinb, 100 units
J0588	Incobotulinumtoxin a	Injection, incobotulinumtoxin a, 1 unit
J0589	Inj daxibotulinumtoxina-lanm	Injection, daxibotulinumtoxina-lanm, 1 unit
J0591	Inj deoxycholic acid, 1 mg	Injection, deoxycholic acid, 1 mg
J0592	Buprenorphine hydrochloride	Injection, buprenorphine hydrochloride, 0.1 mg
J0593	Inj., lanadelumab-flyo, 1 mg	Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)
J0594	Busulfan injection	injection, busulfan, 1 mg
J0595	Butorphanol tartrate 1 mg	Injection, butorphanol tartrate, 1 mg
J0596	Injection, ruconest	Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units
J0597	C-1 esterase, berinert	Injection, c-1 esterase inhibitor (human), berinert, 10 units
J0598	C-1 esterase, cinryze	Injection, c-1 esterase inhibitor (human), cinryze, 10 units
J0599	Inj., haegarda 10 units	Injection, c-1 esterase inhibitor (human), (haegarda), 10 units
J0600	Edetate calcium disodium inj	Injection, edetate calcium disodium, up to 1000 mg
J0604	Cinacalcet, esrd on dialysis	Cinacalcet, oral, 1 mg, (for esrd on dialysis)
J0606	Inj, etelcalcetide, 0.1 mg	Injection, etelcalcetide, 0.1 mg
J0610	Calcium glucon (fresenius)	Injection, calcium gluconate (fresenius kabi), per 10 ml
J0611	Calcium glucon (wg critical)	Injection, calcium gluconate (wg critical care), per 10 ml
J0612	Inj, calcium gluconate, nos	Injection, calcium gluconate, not otherwise specified, 10 mg
J0613	Calcium glucon (wg critical)	Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg
J0620	Calcium glycer & lact/10 ml	Injection, calcium glycerophosphate and calcium lactate, per 10 ml
J0630	Calcitonin salmon injection	Injection, calcitonin salmon, up to 400 units
J0636	Inj calcitriol per 0.1 mcg	Injection, calcitriol, 0.1 mcg
J0637	Caspofungin acetate	Injection, caspofungin acetate, 5 mg
J0638	Canakinumab injection	Injection, canakinumab, 1 mg
J0640	Leucovorin calcium injection	Injection, leucovorin calcium, per 50 mg
J0641	Inj levoleucovorin nos 0.5mg	Injection, levoleucovorin, not otherwise specified, 0.5 mg
J0642	Injection, khapzory, 0.5 mg	Injection, levoleucovorin (khapzory), 0.5 mg
J0650	Inj, levothyroxine nos 10mcg	Injection, levothyroxine sodium, not otherwise specified, 10 mcg
J0651	Inj, levothyroxine, freskabi	Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg
J0652	Inj, levothyroxine, hikma	Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg
J0665	Inj, bupivacaine, nos, 0.5mg	Injection, bupivicaine, not otherwise specified, 0.5 mg
J0670	Inj mepivacaine hcl/10 ml	Injection, mepivacaine hydrochloride, per 10 ml
J0687	Inj cefazolin (wg crit care)	Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg
J0688	Inj cefazolin sodium, hikma	Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg
J0689	Inj cefazolin sodium, baxter	Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg
J0690	Cefazolin sodium injection	Injection, cefazolin sodium, 500 mg
J0691	Inj lefamulin 1 mg	Injection, lefamulin, 1 mg
J0692	Cefepime hcl for injection	Injection, cefepime hydrochloride, 500 mg
J0693	Inj., cefiderocol, 5 mg	Injection, cefiderocol, 5 mg
J0694	Cefoxitin sodium injection	Injection, cefoxitin sodium, 1 gm
J0695	Inj ceftolozane tazobactam	Injection, ceftolozane 50 mg and tazobactam 25 mg
J0696	Ceftriaxone sodium injection	Injection, ceftriaxone sodium, per 250 mg
J0697	Sterile cefuroxime injection	Injection, sterile cefuroxime sodium, per 750 mg
J0698	Cefotaxime sodium injection	Injection, cefotaxime sodium, per gm
J0699	Inj, cefiderocol, 10 mg	Injection, cefiderocol, 10 mg
J0701	Inj. cefepime hcl (baxter)	Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg
J0702	Betamethasone acet&sod phosp	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
J0703	Inj, cefepime hcl (b braun)	Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg
J0706	Caffeine citrate injection	Injection, caffeine citrate, 5 mg
J0710	Cephapirin sodium injection	Injection, cephapirin sodium, up to 1 gm
J0712	Ceftaroline fosamil inj	Injection, ceftaroline fosamil, 10 mg
J0713	Inj ceftazidime per 500 mg	Injection, ceftazidime, per 500 mg
J0714	Ceftazidime and avibactam	Injection, ceftazidime and avibactam, 0.5 g/0.125 g
J0715	Ceftizoxime sodium / 500 mg	Injection, ceftizoxime sodium, per 500 mg
J0716	Centruroides immune f(ab)	Injection, centruroides immune f(ab)2, up to 120 milligrams
J0717	Certolizumab pegol inj 1mg	Injection, 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)
J0720	Chloramphenicol sodium injec	Injection, chloramphenicol sodium succinate, up to 1 gm
J0725	Chorionic gonadotropin/1000u	Injection, chorionic gonadotropin, per 1,000 usp units
J0735	Clonidine hydrochloride	Injection, clonidine hydrochloride, 1 mg
J0736	Inj, clindamycin phosp 300mg	Injection, clindamycin phosphate, 300 mg
J0737	Inj, clindamycin (baxter)	Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg
J0739	Hiv prep, inj, cabotegravir	Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
J0740	Cidofovir injection	Injection, cidofovir, 375 mg
J0741	Inj, cabote rilpivir 2mg 3mg	Injection, cabotegravir and rilpivirine, 2mg/3mg
J0742	Inj imip 4 cilas 4 releb 2mg	Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg
J0743	Cilastatin sodium injection	Injection, cilastatin sodium; imipenem, per 250 mg
J0744	Ciprofloxacin iv	Injection, ciprofloxacin for intravenous infusion, 200 mg
J0745	Inj codeine phosphate /30 mg	Injection, codeine phosphate, per 30 mg
J0750	Hiv prep, ftc/tdf 200/300mg	Emtricitabine 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)
J0751	Hiv prep, ftc/taf 200/25mg	Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)
J0760	Colchicine injection	Injection, colchicine, per 1 mg
J0770	Colistimethate sodium inj	Injection, colistimethate sodium, up to 150 mg
J0775	Collagenase, clost hist inj	Injection, collagenase, clostridium histolyticum, 0.01 mg
J0780	Prochlorperazine injection	Injection, prochlorperazine, up to 10 mg
J0791	Inj crizanlizumab-tmca 5mg	Injection, crizanlizumab-tmca, 5 mg
J0795	Corticorelin ovine triflutal	Injection, corticorelin ovine triflutate, 1 microgram
J0799	Hiv prep, fda approved, noc	Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified
J0800	Corticotropin injection	Injection, corticotropin, up to 40 units
J0801	Inj. acthar gel to 40 units	Injection, corticotropin (acthar gel), up to 40 units
J0802	Inj. (ani), up to 40 units	Injection, corticotropin (ani), up to 40 units
J0833	Cosyntropin injection nos	Injection, cosyntropin, not otherwise specified, 0.25 mg
J0834	Inj., cosyntropin, 0.25 mg	Injection, cosyntropin, 0.25 mg
J0840	Crotalidae poly immune fab	Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
J0841	Inj crotalidae im f(ab')2 eq	Injection, crotalidae immune f(ab')2 (equine), 120 mg
J0850	Cytomegalovirus imm iv /vial	Injection, cytomegalovirus immune globulin intravenous (human), per vial
J0872	Daptomycin (xellia) unrefrig	Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg
J0873	Inj daptomycin (xellia)	Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg
J0874	Inj, daptomycin (baxter)	Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
J0875	Injection, dalbavancin	Injection, dalbavancin, 5 mg
J0877	Inj, daptomycin (hospira)	Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg
J0878	Daptomycin injection	Injection, daptomycin, 1 mg
J0879	Difelikefalin, esrd on dialy	Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)
J0881	Darbepoetin alfa, non-esrd	Injection, darbepoetin alfa, 1 microgram (non-esrd use)
J0882	Darbepoetin alfa, esrd use	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)
J0883	Argatroban nonesrd use 1mg	Injection, argatroban, 1 mg (for non-esrd use)
J0884	Argatroban esrd dialysis 1mg	Injection, argatroban, 1 mg (for esrd on dialysis)
J0885	Epoetin alfa, non-esrd	Injection, epoetin alfa, (for non-esrd use), 1000 units
J0886	Epoetin alfa 1000 units esrd	Injection, epoetin alfa, 1000 units (for esrd on dialysis)
J0887	Epoetin beta esrd use	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
J0888	Epoetin beta non esrd	Injection, epoetin beta, 1 microgram, (for non esrd use)
J0889	Daprodustat oral 1mg esrd	Daprodustat, oral, 1 mg, (for esrd on dialysis)
J0890	Peginesatide injection	Injection, peginesatide, 0.1 mg (for esrd on dialysis)
J0891	Argatroban nonesrd (accord)	Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
J0892	Argatroban dialysis (accord)	Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)
J0893	Inj, decitabine (sun pharma)	Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg
J0894	Decitabine injection	Injection, decitabine, 1 mg
J0895	Deferoxamine mesylate inj	Injection, deferoxamine mesylate, 500 mg
J0896	Inj luspatercept-aamt 0.25mg	Injection, luspatercept-aamt, 0.25 mg
J0897	Denosumab injection	Injection, denosumab, 1 mg
J0898	Argatroban nonesrd (auromed)	Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
J0899	Argatroban dialysis, auromed	Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)
J0900	Testosterone enanthate inj	Injection, testosterone enanthate and estradiol valerate, up to 1 cc
J0911	Inst tauro 1.35mg/hep 100u	Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)
J0945	Brompheniramine maleate inj	Injection, brompheniramine maleate, per 10 mg
J1	Cap no-pay for prescript num	Competitive acquisition program no-pay submission for a prescription number
J1000	Depo-estradiol cypionate inj	Injection, depo-estradiol cypionate, up to 5 mg
J1010	Inj, methylpred acetate 1 mg	Injection, methylprednisolone acetate, 1 mg
J1020	Methylprednisolone 20 mg inj	Injection, methylprednisolone acetate, 20 mg
J1030	Methylprednisolone 40 mg inj	Injection, methylprednisolone acetate, 40 mg
J1040	Methylprednisolone 80 mg inj	Injection, methylprednisolone acetate, 80 mg
J1050	Medroxyprogesterone acetate	Injection, medroxyprogesterone acetate, 1 mg
J1060	Testosterone cypionate 1 ml	Injection, testosterone cypionate and estradiol cypionate, up to 1 ml
J1070	Testosterone cypionat 100 mg	Injection, testosterone cypionate, up to 100 mg
J1071	Inj testosterone cypionate	Injection, testosterone cypionate, 1 mg
J1080	Testosterone cypionat 200 mg	Injection, testosterone cypionate, 1 cc, 200 mg
J1094	Inj dexamethasone acetate	Injection, dexamethasone acetate, 1 mg
J1095	Injection, dexamethasone 9%	Injection, dexamethasone 9 percent, intraocular, 1 microgram
J1096	Dexametha opth insert 0.1 mg	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
J1097	Phenylep ketorolac opth soln	Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
J1100	Dexamethasone sodium phos	Injection, dexamethasone sodium phosphate, 1 mg
J1105	Dexmedetomidine film, 1 mcg	Dexmedetomidine, oral, 1 mcg
J1110	Inj dihydroergotamine mesylt	Injection, dihydroergotamine mesylate, per 1 mg
J1120	Acetazolamid sodium injectio	Injection, acetazolamide sodium, up to 500 mg
J1130	Inj diclofenac sodium 0.5mg	Injection, diclofenac sodium, 0.5 mg
J1160	Digoxin injection	Injection, digoxin, up to 0.5 mg
J1162	Digoxin immune fab (ovine)	Injection, digoxin immune fab (ovine), per vial
J1165	Phenytoin sodium injection	Injection, phenytoin sodium, per 50 mg
J1170	Hydromorphone injection	Injection, hydromorphone, up to 4 mg
J1180	Dyphylline injection	Injection, dyphylline, up to 500 mg
J1190	Dexrazoxane hcl injection	Injection, dexrazoxane hydrochloride, per 250 mg
J1200	Diphenhydramine hcl injectio	Injection, diphenhydramine hcl, up to 50 mg
J1201	Inj. cetirizine hcl 0.5mg	Injection, cetirizine hydrochloride, 0.5 mg
J1202	Miglustat oral 65 mg	Miglustat, oral, 65 mg
J1203	Inj, cipaglucosidase, 5 mg	Injection, cipaglucosidase alfa-atga, 5 mg
J1205	Chlorothiazide sodium inj	Injection, chlorothiazide sodium, per 500 mg
J1212	Dimethyl sulfoxide 50% 50 ml	Injection, dmso, dimethyl sulfoxide, 50%, 50 ml
J1230	Methadone injection	Injection, methadone hcl, up to 10 mg
J1240	Dimenhydrinate injection	Injection, dimenhydrinate, up to 50 mg
J1245	Dipyridamole injection	Injection, dipyridamole, per 10 mg
J1250	Inj dobutamine hcl/250 mg	Injection, dobutamine hydrochloride, per 250 mg
J1260	Dolasetron mesylate	Injection, dolasetron mesylate, 10 mg
J1265	Dopamine injection	Injection, dopamine hcl, 40 mg
J1267	Doripenem injection	Injection, doripenem, 10 mg
J1270	Injection, doxercalciferol	Injection, doxercalciferol, 1 mcg
J1290	Ecallantide injection	Injection, ecallantide, 1 mg
J1300	Eculizumab injection	Injection, eculizumab, 10 mg
J1301	Injection, edaravone, 1 mg	Injection, edaravone, 1 mg
J1302	Inj, sutimlimab-jome, 10 mg	Injection, sutimlimab-jome, 10 mg
J1303	Inj., ravulizumab-cwvz 10 mg	Injection, ravulizumab-cwvz, 10 mg
J1304	Inj tofersen intrathec 1 mg	Injection, tofersen, 1 mg
J1305	Inj, evinacumab-dgnb, 5mg	Injection, evinacumab-dgnb, 5mg
J1306	Injection, inclisiran, 1 mg	Injection, inclisiran, 1 mg
J1320	Amitriptyline injection	Injection, amitriptyline hcl, up to 20 mg
J1322	Elosulfase alfa, injection	Injection, elosulfase alfa, 1 mg
J1323	Inj, elranatamab-bcmm, 1 mg	Injection, elranatamab-bcmm, 1 mg
J1324	Enfuvirtide injection	Injection, enfuvirtide, 1 mg
J1325	Epoprostenol injection	Injection, epoprostenol, 0.5 mg
J1327	Eptifibatide injection	Injection, eptifibatide, 5 mg
J1330	Ergonovine maleate injection	Injection, ergonovine maleate, up to 0.2 mg
J1335	Ertapenem injection	Injection, ertapenem sodium, 500 mg
J1364	Erythro lactobionate /500 mg	Injection, erythromycin lactobionate, per 500 mg
J1380	Estradiol valerate 10 mg inj	Injection, estradiol valerate, up to 10 mg
J1410	Inj estrogen conjugate 25 mg	Injection, estrogen conjugated, per 25 mg
J1411	Inj, hemgenix, per tx dose	Injection, etranacogene dezaparvovec-drlb, per therapeutic dose
J1412	Inj roctavian ml 2x10^13vc g	Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes
J1413	Inj delandistrogene mox rokl	Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose
J1426	Injection, casimersen, 10 mg	Injection, casimersen, 10 mg
J1427	Inj. viltolarsen	Injection, viltolarsen, 10 mg
J1428	Inj, eteplirsen, 10 mg	Injection, eteplirsen, 10 mg
J1429	Inj golodirsen 10 mg	Injection, golodirsen, 10 mg
J1430	Ethanolamine oleate 100 mg	Injection, ethanolamine oleate, 100 mg
J1434	Inj, focinvez, 1mg	Injection, fosaprepitant (focinvez), 1 mg
J1435	Injection estrone per 1 mg	Injection, estrone, per 1 mg
J1436	Etidronate disodium inj	Injection, etidronate disodium, per 300 mg
J1437	Inj. fe derisomaltose 10 mg	Injection, ferric derisomaltose, 10 mg
J1438	Etanercept injection	Injection, etanercept, 25 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)
J1439	Inj ferric carboxymaltos 1mg	Injection, ferric carboxymaltose, 1 mg
J1440	Fecal microbiota jslm 1 ml	Fecal microbiota, live - jslm, 1 ml
J1442	Inj filgrastim excl biosimil	Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram
J1443	Inj ferric pyrophosphate cit	Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron
J1444	Fe pyro cit pow 0.1 mg iron	Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron
J1445	Inj triferic avnu 0.1mg iron	Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron
J1446	Inj, tbo-filgrastim, 5 mcg	Injection, tbo-filgrastim, 5 micrograms
J1447	Inj tbo filgrastim 1 microg	Injection, tbo-filgrastim, 1 microgram
J1448	Injection, trilaciclib, 1mg	Injection, trilaciclib, 1mg
J1449	Inj eflapegrastim-xnst 0.1mg	Injection, eflapegrastim-xnst, 0.1 mg
J1450	Fluconazole	Injection fluconazole, 200 mg
J1451	Fomepizole, 15 mg	Injection, fomepizole, 15 mg
J1452	Intraocular fomivirsen na	Injection, fomivirsen sodium, intraocular, 1.65 mg
J1453	Fosaprepitant injection	Injection, fosaprepitant, 1 mg
J1454	Inj fosnetupitant, palonoset	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
J1455	Foscarnet sodium injection	Injection, foscarnet sodium, per 1000 mg
J1456	Inj, fosaprepitant (teva)	Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg
J1457	Gallium nitrate injection	Injection, gallium nitrate, 1 mg
J1458	Galsulfase injection	Injection, galsulfase, 1 mg
J1459	Inj ivig privigen 500 mg	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1460	Gamma globulin 1 cc inj	Injection, gamma globulin, intramuscular, 1 cc
J1551	Inj cutaquig 100 mg	Injection, immune globulin (cutaquig), 100 mg
J1554	Inj. asceniv	Injection, immune globulin (asceniv), 500 mg
J1555	Inj cuvitru, 100 mg	Injection, immune globulin (cuvitru), 100 mg
J1556	Inj, imm glob bivigam, 500mg	Injection, immune globulin (bivigam), 500 mg
J1557	Gammaplex injection	Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1558	Inj. xembify, 100 mg	Injection, immune globulin (xembify), 100 mg
J1559	Hizentra injection	Injection, immune globulin (hizentra), 100 mg
J1560	Gamma globulin > 10 cc inj	Injection, gamma globulin, intramuscular, over 10 cc
J1561	Gamunex-c/gammaked	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg
J1562	Vivaglobin, inj	Injection, immune globulin (vivaglobin), 100 mg
J1566	Immune globulin, powder	Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
J1568	Octagam injection	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1569	Gammagard liquid injection	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg
J1570	Ganciclovir sodium injection	Injection, ganciclovir sodium, 500 mg
J1571	Hepagam b im injection	Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml
J1572	Flebogamma injection	Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1573	Hepagam b intravenous, inj	Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml
J1574	Inj, ganciclovir (exela)	Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg
J1575	Hyqvia 100mg immuneglobulin	Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin
J1576	Inj, panzyga, 500 mg	Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1580	Garamycin gentamicin inj	Injection, garamycin, gentamicin, up to 80 mg
J1590	Gatifloxacin injection	Injection, gatifloxacin, 10 mg
J1595	Injection glatiramer acetate	Injection, glatiramer acetate, 20 mg
J1596	Inj, glycopyrrolate, 0.1 mg	Injection, glycopyrrolate, 0.1 mg
J1597	Inj glycopyrrolate, glyrx-pf	Injection, glycopyrrolate (glyrx-pf), 0.1 mg
J1598	Inj glycopyrrolate fres kabi	Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg
J1599	Ivig non-lyophilized, nos	Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg
J1600	Gold sodium thiomaleate inj	Injection, gold sodium thiomalate, up to 50 mg
J1602	Golimumab for iv use 1mg	Injection, golimumab, 1 mg, for intravenous use
J1610	Glucagon hydrochloride/1 mg	Injection, glucagon hydrochloride, per 1 mg
J1611	Inj glucagon hcl, fresenius	Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg
J1620	Gonadorelin hydroch/ 100 mcg	Injection, gonadorelin hydrochloride, per 100 mcg
J1626	Granisetron hcl injection	Injection, granisetron hydrochloride, 100 mcg
J1627	Inj, granisetron, xr, 0.1 mg	Injection, granisetron, extended-release, 0.1 mg
J1628	Inj., guselkumab, 1 mg	Injection, guselkumab, 1 mg
J1630	Haloperidol injection	Injection, haloperidol, up to 5 mg
J1631	Haloperidol decanoate inj	Injection, haloperidol decanoate, per 50 mg
J1632	Inj., brexanolone, 1 mg	Injection, brexanolone, 1 mg
J1640	Hemin, 1 mg	Injection, hemin, 1 mg
J1642	Inj heparin sodium per 10 u	Injection, heparin sodium, (heparin lock flush), per 10 units
J1643	Inj heparin, pfizer, 1000u	Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units
J1644	Inj heparin sodium per 1000u	Injection, heparin sodium, per 1000 units
J1645	Dalteparin sodium	Injection, dalteparin sodium, per 2500 iu
J1650	Inj enoxaparin sodium	Injection, enoxaparin sodium, 10 mg
J1652	Fondaparinux sodium	Injection, fondaparinux sodium, 0.5 mg
J1655	Tinzaparin sodium injection	Injection, tinzaparin sodium, 1000 iu
J1670	Tetanus immune globulin inj	Injection, tetanus immune globulin, human, up to 250 units
J1675	Histrelin acetate	Injection, histrelin acetate, 10 micrograms
J1700	Hydrocortisone acetate inj	Injection, hydrocortisone acetate, up to 25 mg
J1710	Hydrocortisone sodium ph inj	Injection, hydrocortisone sodium phosphate, up to 50 mg
J1720	Hydrocortisone sodium succ i	Injection, hydrocortisone sodium succinate, up to 100 mg
J1725	Hydroxyprogesterone caproate	Injection, hydroxyprogesterone caproate, 1 mg
J1726	Makena, 10 mg	Injection, hydroxyprogesterone caproate, (makena), 10 mg
J1729	Inj hydroxyprogst capoat nos	Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
J1730	Diazoxide injection	Injection, diazoxide, up to 300 mg
J1738	Inj. meloxicam 1 mg	Injection, meloxicam, 1 mg
J1740	Ibandronate sodium injection	Injection, ibandronate sodium, 1 mg
J1741	Ibuprofen injection	Injection, ibuprofen, 100 mg
J1742	Ibutilide fumarate injection	Injection, ibutilide fumarate, 1 mg
J1743	Idursulfase injection	Injection, idursulfase, 1 mg
J1744	Icatibant injection	Injection, icatibant, 1 mg
J1745	Infliximab not biosimil 10mg	Injection, infliximab, excludes biosimilar, 10 mg
J1746	Inj., ibalizumab-uiyk, 10 mg	Injection, ibalizumab-uiyk, 10 mg
J1747	Inj, spesolimab-sbzo, 1 mg	Injection, spesolimab-sbzo, 1 mg
J1748	Inj, zymfentra, 10 mg	Injection, infliximab-dyyb (zymfentra), 10 mg
J1750	Inj iron dextran	Injection, iron dextran, 50 mg
J1756	Iron sucrose injection	Injection, iron sucrose, 1 mg
J1786	Imuglucerase injection	Injection, imiglucerase, 10 units
J1790	Droperidol injection	Injection, droperidol, up to 5 mg
J1800	Propranolol injection	Injection, propranolol hcl, up to 1 mg
J1805	Inj, esmolol hcl, 10mg	Injection, esmolol hydrochloride, 10 mg
J1806	Inj esmolol hcl wg crit care	Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg
J1810	Droperidol/fentanyl inj	Injection, droperidol and fentanyl citrate, up to 2 ml ampule
J1811	Fiasp for insulin pump use	Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units
J1812	Inj. insulin (fiasp)	Insulin (fiasp), per 5 units
J1813	Lyumjev for insulin pump use	Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
J1814	Inj. insulin (lyumjev)	Insulin (lyumjev), per 5 units
J1815	Insulin injection	Injection, insulin, per 5 units
J1817	Insulin for insulin pump use	Insulin for administration through dme (i.e., insulin pump) per 50 units
J1823	Inj. inebilizumab-cdon, 1 mg	Injection, inebilizumab-cdon, 1 mg
J1826	Interferon beta-1a inj	Injection, interferon beta-1a, 30 mcg
J1830	Interferon beta-1b / .25 mg	Injection, interferon beta-1b, 0.25 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)
J1833	Injection, isavuconazonium	Injection, isavuconazonium, 1 mg
J1835	Itraconazole injection	Injection, itraconazole, 50 mg
J1836	Inj, metronidazole, 10 mg	Injection, metronidazole, 10 mg
J1840	Kanamycin sulfate 500 mg inj	Injection, kanamycin sulfate, up to 500 mg
J1850	Kanamycin sulfate 75 mg inj	Injection, kanamycin sulfate, up to 75 mg
J1885	Ketorolac tromethamine inj	Injection, ketorolac tromethamine, per 15 mg
J1890	Cephalothin sodium injection	Injection, cephalothin sodium, up to 1 gram
J1920	Inj, labetalol hcl, 5mg	Injection, labetalol hydrochloride, 5 mg
J1921	Inj labetalol hcl hikma, 5mg	Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg
J1930	Lanreotide injection	Injection, lanreotide, 1 mg
J1931	Laronidase injection	Injection, laronidase, 0.1 mg
J1932	Inj, lanreotide, (cipla) 1mg	Injection, lanreotide, (cipla), 1 mg
J1939	Inj, bumetanide, 0.5 mg	Injection, bumetanide, 0.5 mg
J1940	Furosemide injection	Injection, furosemide, up to 20 mg
J1941	Inj, furoscix, 20 mg	Injection, furosemide (furoscix), 20 mg
J1942	Aripiprazole lauroxil 1mg	Injection, aripiprazole lauroxil, 1 mg
J1943	Inj., aristada initio, 1 mg	Injection, aripiprazole lauroxil, (aristada initio), 1 mg
J1944	Aripiprazole lauroxil 1 mg	Injection, aripiprazole lauroxil, (aristada), 1 mg
J1945	Lepirudin	Injection, lepirudin, 50 mg
J1950	Leuprolide acetate /3.75 mg	Injection, leuprolide acetate (for depot suspension), per 3.75 mg
J1951	Inj fensolvi 0.25 mg	Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg
J1952	Leuprolide inj, camcevi, 1mg	Leuprolide injectable, camcevi, 1 mg
J1953	Levetiracetam injection	Injection, levetiracetam, 10 mg
J1954	Leuprolide depot cipla 7.5mg	Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg
J1955	Inj levocarnitine per 1 gm	Injection, levocarnitine, per 1 gm
J1956	Levofloxacin injection	Injection, levofloxacin, 250 mg
J1960	Levorphanol tartrate inj	Injection, levorphanol tartrate, up to 2 mg
J1961	Inj, lenacapavir, 1 mg	Injection, lenacapavir, 1 mg
J1980	Hyoscyamine sulfate inj	Injection, hyoscyamine sulfate, up to 0.25 mg
J1990	Chlordiazepoxide injection	Injection, chlordiazepoxide hcl, up to 100 mg
J2	Cap restock of emerg drugs	Competitive acquisition program, restocking of emergency drugs after emergency administration
J2001	Lidocaine injection	Injection, lidocaine hcl for intravenous infusion, 10 mg
J2010	Lincomycin injection	Injection, lincomycin hcl, up to 300 mg
J2020	Linezolid injection	Injection, linezolid, 200 mg
J2021	Inj, linezolid (hospira)	Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg
J2060	Lorazepam injection	Injection, lorazepam, 2 mg
J2062	Loxapine for inhalation 1 mg	Loxapine for inhalation, 1 mg
J2150	Mannitol injection	Injection, mannitol, 25% in 50 ml
J2170	Mecasermin injection	Injection, mecasermin, 1 mg
J2175	Meperidine hydrochl /100 mg	Injection, meperidine hydrochloride, per 100 mg
J2180	Meperidine/promethazine inj	Injection, meperidine and promethazine hcl, up to 50 mg
J2182	Injection, mepolizumab, 1mg	Injection, mepolizumab, 1 mg
J2183	Inj meropenem (wg crit care)	Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg
J2184	Inj, meropenem (b. braun)	Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg
J2185	Meropenem	Injection, meropenem, 100 mg
J2186	Inj., meropenem, vaborbactam	Injection, meropenem and vaborbactam, 10mg/10mg (20mg)
J2210	Methylergonovin maleate inj	Injection, methylergonovine maleate, up to 0.2 mg
J2212	Methylnaltrexone injection	Injection, methylnaltrexone, 0.1 mg
J2246	Inj, micafungin (baxter)	Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg
J2247	Inj, micafungin (par pharm)	Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg
J2248	Micafungin sodium injection	Injection, micafungin sodium, 1 mg
J2249	Inj, remimazolam, 1 mg	Injection, remimazolam, 1 mg
J2250	Inj midazolam hydrochloride	Injection, midazolam hydrochloride, per 1 mg
J2251	Inj midazolam (wg crit care)	Injection, midazolam hydrochloride (wg critical care), not therapeutically equivalent to j2250, per 1 mg
J2260	Inj milrinone lactate / 5 mg	Injection, milrinone lactate, 5 mg
J2265	Minocycline hydrochloride	Injection, minocycline hydrochloride, 1 mg
J2267	Inj, mirikizumab-mrkz, 1 mg	Injection, mirikizumab-mrkz, 1 mg
J2270	Morphine sulfate injection	Injection, morphine sulfate, up to 10 mg
J2271	Morphine so4 injection 100mg	Injection, morphine sulfate, 100mg
J2272	Inj, morphine (fresenius)	Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg
J2274	Inj morphine pf epid ithc	Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg
J2275	Morphine sulfate injection	Injection, morphine sulfate (preservative-free sterile solution), per 10 mg
J2277	Inj, motixafortide, 0.25 mg	Injection, motixafortide, 0.25 mg
J2278	Ziconotide injection	Injection, ziconotide, 1 microgram
J2280	Inj, moxifloxacin 100 mg	Injection, moxifloxacin, 100 mg
J2281	Inj moxifloxacin (fres kabi)	Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg
J2300	Inj nalbuphine hydrochloride	Injection, nalbuphine hydrochloride, per 10 mg
J2305	Inj, nitroglycerin, 5 mg	Injection, nitroglycerin, 5 mg
J2310	Inj naloxone hydrochloride	Injection, naloxone hydrochloride, per 1 mg
J2311	Inj, naloxone hcl (zimhi)	Injection, naloxone hydrochloride (zimhi), 1 mg
J2315	Naltrexone, depot form	Injection, naltrexone, depot form, 1 mg
J2320	Nandrolone decanoate 50 mg	Injection, nandrolone decanoate, up to 50 mg
J2323	Natalizumab injection	Injection, natalizumab, 1 mg
J2325	Nesiritide injection	Injection, nesiritide, 0.1 mg
J2326	Inj, nusinersen, 0.1mg	Injection, nusinersen, 0.1 mg
J2327	Inj risankizumab-rzaa 1 mg	Injection, risankizumab-rzaa, intravenous, 1 mg
J2329	Inj ublituximab-xiiy, 1 mg	Injection, ublituximab-xiiy, 1mg
J2350	Injection, ocrelizumab, 1 mg	Injection, ocrelizumab, 1 mg
J2353	Octreotide injection, depot	Injection, octreotide, depot form for intramuscular injection, 1 mg
J2354	Octreotide inj, non-depot	Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg
J2355	Oprelvekin injection	Injection, oprelvekin, 5 mg
J2356	Inj tezepelumab-ekko, 1mg	Injection, tezepelumab-ekko, 1 mg
J2357	Omalizumab injection	Injection, omalizumab, 5 mg
J2358	Olanzapine long-acting inj	Injection, olanzapine, long-acting, 1 mg
J2359	Inj. olanzapine, 0.5mg	Injection, olanzapine, 0.5 mg
J2360	Orphenadrine injection	Injection, orphenadrine citrate, up to 60 mg
J2370	Phenylephrine hcl injection	Injection, phenylephrine hcl, up to 1 ml
J2371	Inj phenylephrine hcl 20 mcg	Injection, phenylephrine hydrochloride, 20 micrograms
J2372	Inj, biorphen, 20 micrograms	Injection, phenylephrine hydrochloride (biorphen), 20 micrograms
J2373	Inj, immphentiv, 20 mcg	Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms
J2400	Chloroprocaine hcl injection	Injection, chloroprocaine hydrochloride, per 30 ml
J2401	Chloroprocaine hcl injection	Injection, chloroprocaine hydrochloride, per 1 mg
J2402	Chloroprocaine (clorotekal)	Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg
J2403	Chloroprocaine opht gel, 1mg	Chloroprocaine hcl ophthalmic, 3% gel, 1 mg
J2404	Inj, nicardipine 0.1 mg	Injection, nicardipine, 0.1 mg
J2405	Ondansetron hcl injection	Injection, ondansetron hydrochloride, per 1 mg
J2406	Injection, oritavancin 10 mg	Injection, oritavancin (kimyrsa), 10 mg
J2407	Injection, oritavancin	Injection, oritavancin (orbactiv), 10 mg
J2410	Oxymorphone hcl injection	Injection, oxymorphone hcl, up to 1 mg
J2425	Palifermin injection	Injection, palifermin, 50 micrograms
J2426	Inj, invega sustenna, 1 mg	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg
J2427	Inj, invega hafyera/trinza	Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg
J2430	Pamidronate disodium /30 mg	Injection, pamidronate disodium, per 30 mg
J2440	Papaverin hcl injection	Injection, papaverine hcl, up to 60 mg
J2460	Oxytetracycline injection	Injection, oxytetracycline hcl, up to 50 mg
J2468	Inj, palonosetron (avyxa)	Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to j2469, 25 micrograms
J2469	Palonosetron hcl	Injection, palonosetron hcl, 25 mcg
J2470	Inj pantoprazole sodium 40mg	Injection, pantoprazole sodium, 40 mg
J2471	Inj pantoprazole(hikma) 40mg	Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
J2501	Paricalcitol	Injection, paricalcitol, 1 mcg
J2502	Inj, pasireotide long acting	Injection, pasireotide long acting, 1 mg
J2503	Pegaptanib sodium injection	Injection, pegaptanib sodium, 0.3 mg
J2504	Pegademase bovine, 25 iu	Injection, pegademase bovine, 25 iu
J2505	Injection, pegfilgrastim 6mg	Injection, pegfilgrastim, 6 mg
J2506	Inj pegfilgrast ex bio 0.5mg	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg
J2507	Pegloticase injection	Injection, pegloticase, 1 mg
J2508	Pegunigalsidase alfa-iwxj	Injection, pegunigalsidase alfa-iwxj, 1 mg
J2510	Penicillin g procaine inj	Injection, penicillin g procaine, aqueous, up to 600,000 units
J2513	Pentastarch 10% solution	Injection, pentastarch, 10% solution, 100 ml
J2515	Pentobarbital sodium inj	Injection, pentobarbital sodium, per 50 mg
J2540	Penicillin g potassium inj	Injection, penicillin g potassium, up to 600,000 units
J2543	Piperacillin/tazobactam	Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)
J2545	Pentamidine non-comp unit	Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg
J2547	Injection, peramivir	Injection, peramivir, 1 mg
J2550	Promethazine hcl injection	Injection, promethazine hcl, up to 50 mg
J2560	Phenobarbital sodium inj	Injection, phenobarbital sodium, up to 120 mg
J2561	Inj, sezaby, 1 mg	Injection, phenobarbital sodium (sezaby), 1 mg
J2562	Plerixafor injection	Injection, plerixafor, 1 mg
J2590	Oxytocin injection	Injection, oxytocin, up to 10 units
J2597	Inj desmopressin acetate	Injection, desmopressin acetate, per 1 mcg
J2598	Inj, vasopressin, 1 unit	Injection, vasopressin, 1 unit
J2599	Inj vasopressin (am reg) 1 u	Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit
J2650	Prednisolone acetate inj	Injection, prednisolone acetate, up to 1 ml
J2670	Totazoline hcl injection	Injection, tolazoline hcl, up to 25 mg
J2675	Inj progesterone per 50 mg	Injection, progesterone, per 50 mg
J2679	Inj fluphenazine hcl 1.25 mg	Injection, fluphenazine hcl, 1.25 mg
J2680	Fluphenazine decanoate 25 mg	Injection, fluphenazine decanoate, up to 25 mg
J2690	Procainamide hcl injection	Injection, procainamide hcl, up to 1 gm
J2700	Oxacillin sodium injeciton	Injection, oxacillin sodium, up to 250 mg
J2704	Inj, propofol, 10 mg	Injection, propofol, 10 mg
J2710	Neostigmine methylslfte inj	Injection, neostigmine methylsulfate, up to 0.5 mg
J2720	Inj protamine sulfate/10 mg	Injection, protamine sulfate, per 10 mg
J2724	Protein c concentrate	Injection, protein c concentrate, intravenous, human, 10 iu
J2725	Inj protirelin per 250 mcg	Injection, protirelin, per 250 mcg
J2730	Pralidoxime chloride inj	Injection, pralidoxime chloride, up to 1 gm
J2760	Phentolaine mesylate inj	Injection, phentolamine mesylate, up to 5 mg
J2765	Metoclopramide hcl injection	Injection, metoclopramide hcl, up to 10 mg
J2770	Quinupristin/dalfopristin	Injection, quinupristin/dalfopristin, 500 mg (150/350)
J2777	Inj, faricimab-svoa, 0.1mg	Injection, faricimab-svoa, 0.1 mg
J2778	Ranibizumab injection	Injection, ranibizumab, 0.1 mg
J2779	Inj, susvimo 0.1 mg	Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg
J2780	Ranitidine hydrochloride inj	Injection, ranitidine hydrochloride, 25 mg
J2781	Inj, pegcetacoplan, 1mg	Injection, pegcetacoplan, intravitreal, 1 mg
J2782	Inj avacincaptad pegol 0.1mg	Injection, avacincaptad pegol, 0.1 mg
J2783	Rasburicase	Injection, rasburicase, 0.5 mg
J2785	Regadenoson injection	Injection, regadenoson, 0.1 mg
J2786	Injection, reslizumab, 1mg	Injection, reslizumab, 1 mg
J2787	Riboflavin 5'phos opth<=3ml	Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml
J2788	Rho d immune globulin 50 mcg	Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)
J2790	Rho d immune globulin inj	Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)
J2791	Rhophylac injection	Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu
J2792	Rho(d) immune globulin h, sd	Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu
J2793	Rilonacept injection	Injection, rilonacept, 1 mg
J2794	Inj risperdal consta, 0.5 mg	Injection, risperidone (risperdal consta), 0.5 mg
J2795	Ropivacaine hcl injection	Injection, ropivacaine hydrochloride, 1 mg
J2796	Romiplostim injection	Injection, romiplostim, 10 micrograms
J2797	Inj., rolapitant, 0.5 mg	Injection, rolapitant, 0.5 mg
J2798	Inj., perseris, 0.5 mg	Injection, risperidone, (perseris), 0.5 mg
J2799	Inj, uzedy, 1 mg	Injection, risperidone (uzedy), 1 mg
J2800	Methocarbamol injection	Injection, methocarbamol, up to 10 ml
J2801	Inj, rykindo, 0.5 mg	Injection, risperidone (rykindo), 0.5 mg
J2805	Sincalide injection	Injection, sincalide, 5 micrograms
J2806	Inj sincalide, maia, 5 mcg	Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms
J2810	Inj theophylline per 40 mg	Injection, theophylline, per 40 mg
J2820	Sargramostim injection	Injection, sargramostim (gm-csf), 50 mcg
J2840	Inj sebelipase alfa 1 mg	Injection, sebelipase alfa, 1 mg
J2850	Inj secretin synthetic human	Injection, secretin, synthetic, human, 1 microgram
J2860	Injection, siltuximab	Injection, siltuximab, 10 mg
J2910	Aurothioglucose injeciton	Injection, aurothioglucose, up to 50 mg
J2916	Na ferric gluconate complex	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg
J2919	Inj, methylpred sod succ 5mg	Injection, methylprednisolone sodium succinate, 5 mg
J2920	Methylprednisolone injection	Injection, methylprednisolone sodium succinate, up to 40 mg
J2930	Methylprednisolone injection	Injection, methylprednisolone sodium succinate, up to 125 mg
J2940	Somatrem injection	Injection, somatrem, 1 mg
J2941	Somatropin injection	Injection, somatropin, 1 mg
J2950	Promazine hcl injection	Injection, promazine hcl, up to 25 mg
J2993	Reteplase injection	Injection, reteplase, 18.1 mg
J2995	Inj streptokinase /250000 iu	Injection, streptokinase, per 250,000 iu
J2997	Alteplase recombinant	Injection, alteplase recombinant, 1 mg
J2998	Inj plasminogen tvmh 1mg	Injection, plasminogen, human-tvmh, 1 mg
J3	Cap drug unavail thru cap	Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
J3000	Streptomycin injection	Injection, streptomycin, up to 1 gm
J3010	Fentanyl citrate injection	Injection, fentanyl citrate, 0.1 mg
J3030	Sumatriptan succinate / 6 mg	Injection, sumatriptan succinate, 6 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)
J3031	Inj., fremanezumab-vfrm 1 mg	Injection, fremanezumab-vfrm, 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)
J3032	Inj. eptinezumab-jjmr 1 mg	Injection, eptinezumab-jjmr, 1 mg
J3055	Inj talquetamab-tgvs 0.25 mg	Injection, talquetamab-tgvs, 0.25 mg
J3060	Inj, taliglucerase alfa 10 u	Injection, taliglucerase alfa, 10 units
J3070	Pentazocine injection	Injection, pentazocine, 30 mg
J3090	Inj tedizolid phosphate	Injection, tedizolid phosphate, 1 mg
J3095	Telavancin injection	Injection, telavancin, 10 mg
J3101	Tenecteplase injection	Injection, tenecteplase, 1 mg
J3105	Terbutaline sulfate inj	Injection, terbutaline sulfate, up to 1 mg
J3110	Teriparatide injection	Injection, teriparatide, 10 mcg
J3111	Inj. romosozumab-aqqg 1 mg	Injection, romosozumab-aqqg, 1 mg
J3120	Testosterone enanthate inj	Injection, testosterone enanthate, up to 100 mg
J3121	Inj testostero enanthate 1mg	Injection, testosterone enanthate, 1 mg
J3130	Testosterone enanthate inj	Injection, testosterone enanthate, up to 200 mg
J3140	Testosterone suspension inj	Injection, testosterone suspension, up to 50 mg
J3145	Testosterone undecanoate 1mg	Injection, testosterone undecanoate, 1 mg
J3150	Testosteron propionate inj	Injection, testosterone propionate, up to 100 mg
J3230	Chlorpromazine hcl injection	Injection, chlorpromazine hcl, up to 50 mg
J3240	Thyrotropin injection	Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
J3241	Inj. teprotumumab-trbw 10 mg	Injection, teprotumumab-trbw, 10 mg
J3243	Tigecycline injection	Injection, tigecycline, 1 mg
J3244	Inj. tigecycline (accord)	Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg
J3245	Inj., tildrakizumab, 1 mg	Injection, tildrakizumab, 1 mg
J3246	Tirofiban hcl	Injection, tirofiban hcl, 0.25 mg
J3247	Inj secukinumab intrav 1mg	Injection, secukinumab, intravenous, 1 mg
J3250	Trimethobenzamide hcl inj	Injection, trimethobenzamide hcl, up to 200 mg
J3260	Tobramycin sulfate injection	Injection, tobramycin sulfate, up to 80 mg
J3262	Tocilizumab injection	Injection, tocilizumab, 1 mg
J3263	Inj, toripalimab-tpzi, 1 mg	Injection, toripalimab-tpzi, 1 mg
J3265	Injection torsemide 10 mg/ml	Injection, torsemide, 10 mg/ml
J3280	Thiethylperazine maleate inj	Injection, thiethylperazine maleate, up to 10 mg
J3285	Treprostinil injection	Injection, treprostinil, 1 mg
J3299	Inj xipere 1 mg	Injection, triamcinolone acetonide (xipere), 1 mg
J3300	Triamcinolone a inj prs-free	Injection, triamcinolone acetonide, preservative free, 1 mg
J3301	Triamcinolone acet inj nos	Injection, triamcinolone acetonide, not otherwise specified, 10 mg
J3302	Triamcinolone diacetate inj	Injection, triamcinolone diacetate, per 5 mg
J3303	Triamcinolone hexacetonl inj	Injection, triamcinolone hexacetonide, per 5 mg
J3304	Inj triamcinolone ace xr 1mg	Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
J3305	Inj trimetrexate glucoronate	Injection, trimetrexate glucuronate, per 25 mg
J3310	Perphenazine injeciton	Injection, perphenazine, up to 5 mg
J3315	Triptorelin pamoate	Injection, triptorelin pamoate, 3.75 mg
J3316	Inj., triptorelin xr 3.75 mg	Injection, triptorelin, extended-release, 3.75 mg
J3320	Spectinomycn di-hcl inj	Injection, spectinomycin dihydrochloride, up to 2 gm
J3350	Urea injection	Injection, urea, up to 40 gm
J3355	Urofollitropin, 75 iu	Injection, urofollitropin, 75 iu
J3357	Ustekinumab sub cu inj, 1 mg	Ustekinumab, for subcutaneous injection, 1 mg
J3358	Ustekinumab, iv inject, 1 mg	Ustekinumab, for intravenous injection, 1 mg
J3360	Diazepam injection	Injection, diazepam, up to 5 mg
J3364	Urokinase 5000 iu injection	Injection, urokinase, 5000 iu vial
J3365	Urokinase 250,000 iu inj	Injection, iv, urokinase, 250,000 i.u. vial
J3370	Vancomycin hcl injection	Injection, vancomycin hcl, 500 mg
J3371	Inj, vancomycin hcl (mylan)	Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg
J3372	Inj, vancomycin hcl (xellia)	Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg
J3380	Inj vedolizumab iv 1 mg	Injection, vedolizumab, intravenous, 1 mg
J3385	Velaglucerase alfa	Injection, velaglucerase alfa, 100 units
J3393	Inj, betibeglogene autotemce	Injection, betibeglogene autotemcel, per treatment
J3394	Inj, lovotibeglogene autotem	Injection, lovotibeglogene autotemcel, per treatment
J3396	Verteporfin injection	Injection, verteporfin, 0.1 mg
J3397	Inj., vestronidase alfa-vjbk	Injection, vestronidase alfa-vjbk, 1 mg
J3398	Inj luxturna 1 billion vec g	Injection, voretigene neparvovec-rzyl, 1 billion vector genomes
J3399	Inj onase abepar-xioi treat	Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes
J3400	Triflupromazine hcl inj	Injection, triflupromazine hcl, up to 20 mg
J3401	Vyjuvek 5x10^9pfu/ml, 0.1 ml	Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml
J3410	Hydroxyzine hcl injection	Injection, hydroxyzine hcl, up to 25 mg
J3411	Thiamine hcl 100 mg	Injection, thiamine hcl, 100 mg
J3415	Pyridoxine hcl 100 mg	Injection, pyridoxine hcl, 100 mg
J3420	Vitamin b12 injection	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
J3424	Inj hydroxocobalamin iv 25mg	Injection, hydroxocobalamin, intravenous, 25 mg
J3425	Hydroxocobalamin im 10mcg	Injection, hydroxocobalamin, intramuscular, 10 mcg
J3430	Vitamin k phytonadione inj	Injection, phytonadione (vitamin k), per 1 mg
J3465	Injection, voriconazole	Injection, voriconazole, 10 mg
J3470	Hyaluronidase injection	Injection, hyaluronidase, up to 150 units
J3471	Ovine, up to 999 usp units	Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)
J3472	Ovine, 1000 usp units	Injection, hyaluronidase, ovine, preservative free, per 1000 usp units
J3473	Hyaluronidase recombinant	Injection, hyaluronidase, recombinant, 1 usp unit
J3475	Inj magnesium sulfate	Injection, magnesium sulfate, per 500 mg
J3480	Inj potassium chloride	Injection, potassium chloride, per 2 meq
J3485	Zidovudine	Injection, zidovudine, 10 mg
J3486	Ziprasidone mesylate	Injection, ziprasidone mesylate, 10 mg
J3489	Zoledronic acid 1mg	Injection, zoledronic acid, 1 mg
J3490	Drugs unclassified injection	Unclassified drugs
J3520	Edetate disodium per 150 mg	Edetate disodium, per 150 mg
J3530	Nasal vaccine inhalation	Nasal vaccine inhalation
J3535	Metered dose inhaler drug	Drug administered through a metered dose inhaler
J3570	Laetrile amygdalin vit b17	Laetrile, amygdalin, vitamin b17
J3590	Unclassified biologics	Unclassified biologics
J3591	Esrd on dialysi drug/bio noc	Unclassified drug or biological used for esrd on dialysis
J4	Dmepos comp bid furn by hosp	Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge
J5	Dmepos comp bid fur by pt/ot	Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service
J7030	Normal saline solution infus	Infusion, normal saline solution , 1000 cc
J7040	Normal saline solution infus	Infusion, normal saline solution, sterile (500 ml = 1 unit)
J7042	5% dextrose/normal saline	5% dextrose/normal saline (500 ml = 1 unit)
J7050	Normal saline solution infus	Infusion, normal saline solution, 250 cc
J7060	5% dextrose/water	5% dextrose/water (500 ml = 1 unit)
J7070	D5w infusion	Infusion, d5w, 1000 cc
J7100	Dextran 40 infusion	Infusion, dextran 40, 500 ml
J7110	Dextran 75 infusion	Infusion, dextran 75, 500 ml
J7120	Ringers lactate infusion	Ringers lactate infusion, up to 1000 cc
J7121	5% dextrose in lac ringers	5% dextrose in lactated ringers infusion, up to 1000 cc
J7131	Hypertonic saline sol	Hypertonic saline solution, 1 ml
J7165	Inj, human-lans, per i.u	Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity
J7168	Prothrombin complex kcentra	Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity
J7169	Inj andexxa, 10 mg	Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg
J7170	Inj., emicizumab-kxwh 0.5 mg	Injection, emicizumab-kxwh, 0.5 mg
J7171	Inj, adzynma, 10 iu	Injection, adamts13, recombinant-krhn, 10 iu
J7175	Inj, factor x, (human), 1iu	Injection, factor x, (human), 1 i.u.
J7177	Inj., fibryga, 1 mg	Injection, human fibrinogen concentrate (fibryga), 1 mg
J7178	Inj human fibrinogen con nos	Injection, human fibrinogen concentrate, not otherwise specified, 1 mg
J7179	Vonvendi inj 1 iu vwf:rco	Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco
J7180	Factor xiii anti-hem factor	Injection, factor xiii (antihemophilic factor, human), 1 i.u.
J7181	Factor xiii recomb a-subunit	Injection, factor xiii a-subunit, (recombinant), per iu
J7182	Factor viii recomb novoeight	Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu
J7183	Wilate injection	Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco
J7185	Xyntha inj	Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
J7186	Antihemophilic viii/vwf comp	Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.
J7187	Humate-p, inj	Injection, von willebrand factor complex (humate-p), per iu vwf:rco
J7188	Factor viii recomb obizur	Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.
J7189	Factor viia recomb novoseven	Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram
J7190	Factor viii	Factor viii (antihemophilic factor, human) per i.u.
J7191	Factor viii (porcine)	Factor viii (antihemophilic factor (porcine)), per i.u.
J7192	Factor viii recombinant nos	Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified
J7193	Factor ix non-recombinant	Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
J7194	Factor ix complex	Factor ix, complex, per i.u.
J7195	Factor ix recombinant nos	Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified
J7196	Antithrombin recombinant	Injection, antithrombin recombinant, 50 i.u.
J7197	Antithrombin iii injection	Antithrombin iii (human), per i.u.
J7198	Anti-inhibitor	Anti-inhibitor, per i.u.
J7199	Hemophilia clot factor noc	Hemophilia clotting factor, not otherwise classified
J7200	Factor ix recombinan rixubis	Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu
J7201	Factor ix alprolix recomb	Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
J7202	Factor ix idelvion inj	Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.
J7203	Factor ix recomb gly rebinyn	Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
J7204	Inj recombin esperoct per iu	Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu
J7205	Factor viii fc fusion recomb	Injection, factor viii fc fusion protein (recombinant), per iu
J7207	Factor viii pegylated recomb	Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.
J7208	Inj. jivi 1 iu	Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.
J7209	Factor viii nuwiq recomb 1iu	Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.
J7210	Inj, afstyla, 1 i.u.	Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u.
J7211	Inj, kovaltry, 1 i.u.	Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.
J7212	Factor viia recomb sevenfact	Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram
J7213	Inj, ixinity, 1 i.u.	Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
J7214	Altuviiio per factor viii iu	Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.
J7294	Seg acet and eth estr yearly	Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each
J7295	Eth estr and eton monthly	Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each
J7296	Kyleena, 19.5 mg	Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg
J7297	Liletta, 52 mg	Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg
J7298	Mirena, 52 mg	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg
J7300	Intraut copper contraceptive	Intrauterine copper contraceptive
J7301	Skyla, 13.5 mg	Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg
J7302	Levonorgestrel iu 52 mg	Levonorgestrel-releasing intrauterine contraceptive system, 52 mg
J7303	Contraceptive vaginal ring	Contraceptive supply, hormone containing vaginal ring, each
J7304	Contraceptive hormone patch	Contraceptive supply, hormone containing patch, each
J7306	Levonorgestrel implant sys	Levonorgestrel (contraceptive) implant system, including implants and supplies
J7307	Etonogestrel implant system	Etonogestrel (contraceptive) implant system, including implant and supplies
J7308	Aminolevulinic acid hcl top	Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
J7309	Methyl aminolevulinate, top	Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram
J7310	Ganciclovir long act implant	Ganciclovir, 4.5 mg, long-acting implant
J7311	Inj., retisert, 0.01 mg	Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg
J7312	Dexamethasone intra implant	Injection, dexamethasone, intravitreal implant, 0.1 mg
J7313	Inj., iluvien, 0.01 mg	Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg
J7314	Inj., yutiq, 0.01 mg	Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg
J7315	Ophthalmic mitomycin	Mitomycin, ophthalmic, 0.2 mg
J7316	Inj, ocriplasmin, 0.125 mg	Injection, ocriplasmin, 0.125 mg
J7318	Inj, durolane 1 mg	Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
J7320	Genvisc 850, inj, 1mg	Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg
J7321	Hyalgan supartz visco-3 dose	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
J7322	Hymovis injection 1 mg	Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
J7323	Euflexxa inj per dose	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
J7324	Orthovisc inj per dose	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
J7325	Synvisc or synvisc-one	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
J7326	Gel-one	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
J7327	Monovisc inj per dose	Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
J7328	Gelsyn-3 injection 0.1 mg	Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg
J7329	Inj, trivisc 1 mg	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
J7330	Cultured chondrocytes implnt	Autologous cultured chondrocytes, implant
J7331	Synojoynt, inj., 1 mg	Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg
J7332	Inj., triluron, 1 mg	Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg
J7333	Visco-3 inj dose	Hyaluronan or derivative, visco-3, for intra-articular injection, per dose
J7335	Capsaicin 8% patch	Capsaicin 8% patch, per 10 square centimeters
J7336	Capsaicin 8% patch	Capsaicin 8% patch, per square centimeter
J7340	Carbidopa levodopa ent 100ml	Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml
J7342	Ciprofloxacin otic susp 6 mg	Instillation, ciprofloxacin otic suspension, 6 mg
J7345	Aminolevulinic acid, 10% gel	Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
J7351	Inj bimatoprost itc imp1mcg	Injection, bimatoprost, intracameral implant, 1 microgram
J7352	Afamelanotide implant, 1 mg	Afamelanotide implant, 1 mg
J7353	Anacaulase-bcdb 8.8% gel 1 g	Anacaulase-bcdb, 8.8% gel, 1 gram
J7354	Cantharidin top, applicator	Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)
J7355	Inj travoprost intra impl	Injection, travoprost, intracameral implant, 1 microgram
J7401	Mometasone furoate sinus imp	Mometasone furoate sinus implant, 10 micrograms
J7402	Mometasone sinus sinuva	Mometasone furoate sinus implant, (sinuva), 10 micrograms
J7500	Azathioprine oral 50mg	Azathioprine, oral, 50 mg
J7501	Azathioprine parenteral	Azathioprine, parenteral, 100 mg
J7502	Cyclosporine oral 100 mg	Cyclosporine, oral, 100 mg
J7503	Tacrol envarsus ex rel oral	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg
J7504	Lymphocyte immune globulin	Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
J7505	Monoclonal antibodies	Muromonab-cd3, parenteral, 5 mg
J7506	Prednisone oral	Prednisone, oral, per 5 mg
J7507	Tacrolimus imme rel oral 1mg	Tacrolimus, immediate release, oral, 1 mg
J7508	Tacrol astagraf ex rel oral	Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg
J7509	Methylprednisolone oral	Methylprednisolone oral, per 4 mg
J7510	Prednisolone oral per 5 mg	Prednisolone oral, per 5 mg
J7511	Antithymocyte globuln rabbit	Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg
J7512	Prednisone ir or dr oral 1mg	Prednisone, immediate release or delayed release, oral, 1 mg
J7513	Daclizumab, parenteral	Daclizumab, parenteral, 25 mg
J7515	Cyclosporine oral 25 mg	Cyclosporine, oral, 25 mg
J7516	Inj, cyclosporine 250mg	Injection, cyclosporine, 250 mg
J7517	Mycophenolate mofetil oral	Mycophenolate mofetil, oral, 250 mg
J7518	Mycophenolic acid	Mycophenolic acid, oral, 180 mg
J7519	Inj. mycophenolate mofetil	Injection, mycophenolate mofetil, 10 mg
J7520	Sirolimus, oral	Sirolimus, oral, 1 mg
J7525	Tacrolimus injection	Tacrolimus, parenteral, 5 mg
J7527	Oral everolimus	Everolimus, oral, 0.25 mg
J7599	Immunosuppressive drug noc	Immunosuppressive drug, not otherwise classified
J7604	Acetylcysteine comp unit	Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram
J7605	Arformoterol non-comp unit	Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms
J7606	Formoterol fumarate, inh	Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms
J7607	Levalbuterol comp con	Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg
J7608	Acetylcysteine non-comp unit	Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram
J7609	Albuterol comp unit	Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg
J7610	Albuterol comp con	Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg
J7611	Albuterol non-comp con	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg
J7612	Levalbuterol non-comp con	Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg
J7613	Albuterol non-comp unit	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg
J7614	Levalbuterol non-comp unit	Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg
J7615	Levalbuterol comp unit	Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg
J7620	Albuterol ipratrop non-comp	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
J7622	Beclomethasone comp unit	Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7624	Betamethasone comp unit	Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7626	Budesonide non-comp unit	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg
J7627	Budesonide comp unit	Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg
J7628	Bitolterol mesylate comp con	Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7629	Bitolterol mesylate comp unt	Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7631	Cromolyn sodium noncomp unit	Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams
J7632	Cromolyn sodium comp unit	Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams
J7633	Budesonide non-comp con	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram
J7634	Budesonide comp con	Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram
J7635	Atropine comp con	Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7636	Atropine comp unit	Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7637	Dexamethasone comp con	Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7638	Dexamethasone comp unit	Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7639	Dornase alfa non-comp unit	Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram
J7640	Formoterol comp unit	Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms
J7641	Flunisolide comp unit	Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram
J7642	Glycopyrrolate comp con	Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7643	Glycopyrrolate comp unit	Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7644	Ipratropium bromide non-comp	Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram
J7645	Ipratropium bromide comp	Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7647	Isoetharine comp con	Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7648	Isoetharine non-comp con	Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram
J7649	Isoetharine non-comp unit	Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram
J7650	Isoetharine comp unit	Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7657	Isoproterenol comp con	Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7658	Isoproterenol non-comp con	Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram
J7659	Isoproterenol non-comp unit	Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram
J7660	Isoproterenol comp unit	Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7665	Mannitol for inhaler	Mannitol, administered through an inhaler, 5 mg
J7667	Metaproterenol comp con	Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams
J7668	Metaproterenol non-comp con	Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams
J7669	Metaproterenol non-comp unit	Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams
J7670	Metaproterenol comp unit	Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams
J7674	Methacholine chloride, neb	Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg
J7676	Pentamidine comp unit dose	Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg
J7677	Revefenacin inh non-com 1mcg	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram
J7680	Terbutaline sulf comp con	Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7681	Terbutaline sulf comp unit	Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7682	Tobramycin non-comp unit	Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams
J7683	Triamcinolone comp con	Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7684	Triamcinolone comp unit	Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J7685	Tobramycin comp unit	Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams
J7686	Treprostinil, non-comp unit	Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg
J7699	Inhalation solution for dme	Noc drugs, inhalation solution administered through dme
J7799	Non-inhalation drug for dme	Noc drugs, other than inhalation drugs, administered through dme
J7999	Compounded drug, noc	Compounded drug, not otherwise classified
J8498	Antiemetic rectal/supp nos	Antiemetic drug, rectal/suppository, not otherwise specified
J8499	Oral prescrip drug non chemo	Prescription drug, oral, non chemotherapeutic, nos
J8501	Oral aprepitant	Aprepitant, oral, 5 mg
J8510	Oral busulfan	Busulfan; oral, 2 mg
J8515	Cabergoline, oral 0.25mg	Cabergoline, oral, 0.25 mg
J8520	Capecitabine, oral, 150 mg	Capecitabine, oral, 150 mg
J8521	Capecitabine, oral, 500 mg	Capecitabine, oral, 500 mg
J8530	Cyclophosphamide oral 25 mg	Cyclophosphamide; oral, 25 mg
J8540	Oral dexamethasone	Dexamethasone, oral, 0.25 mg
J8560	Etoposide oral 50 mg	Etoposide; oral, 50 mg
J8562	Oral fludarabine phosphate	Fludarabine phosphate, oral, 10 mg
J8565	Gefitinib oral	Gefitinib, oral, 250 mg
J8597	Antiemetic drug oral nos	Antiemetic drug, oral, not otherwise specified
J8600	Melphalan oral 2 mg	Melphalan; oral, 2 mg
J8610	Methotrexate oral 2.5 mg	Methotrexate; oral, 2.5 mg
J8611	Oral methotrexate (jylamvo)	Methotrexate (jylamvo), oral, 2.5 mg
J8612	Oral methotrexate (xatmep)	Methotrexate (xatmep), oral, 2.5 mg
J8650	Nabilone oral	Nabilone, oral, 1 mg
J8655	Oral netupitant, palonosetro	Netupitant 300 mg and palonosetron 0.5 mg, oral
J8670	Rolapitant, oral, 1mg	Rolapitant, oral, 1 mg
J8700	Temozolomide	Temozolomide, oral, 5 mg
J8705	Topotecan oral	Topotecan, oral, 0.25 mg
J8999	Oral prescription drug chemo	Prescription drug, oral, chemotherapeutic, nos
J9000	Doxorubicin hcl injection	Injection, doxorubicin hydrochloride, 10 mg
J9010	Alemtuzumab injection	Injection, alemtuzumab, 10 mg
J9015	Aldesleukin injection	Injection, aldesleukin, per single use vial
J9017	Arsenic trioxide injection	Injection, arsenic trioxide, 1 mg
J9019	Erwinaze injection	Injection, asparaginase (erwinaze), 1,000 iu
J9020	Asparaginase, nos	Injection, asparaginase, not otherwise specified, 10,000 units
J9021	Inj, aspara, rylaze, 0.1 mg	Injection, asparaginase, recombinant, (rylaze), 0.1 mg
J9022	Inj, atezolizumab,10 mg	Injection, atezolizumab, 10 mg
J9023	Injection, avelumab, 10 mg	Injection, avelumab, 10 mg
J9025	Azacitidine injection	Injection, azacitidine, 1 mg
J9027	Clofarabine injection	Injection, clofarabine, 1 mg
J9029	Instill adstiladrin, tx dose	Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose
J9030	Bcg live intravesical 1mg	Bcg live intravesical instillation, 1 mg
J9031	Bcg live intravesical vac	Bcg (intravesical) per instillation
J9032	Injection, belinostat, 10mg	Injection, belinostat, 10 mg
J9033	Inj., treanda 1 mg	Injection, bendamustine hcl (treanda), 1 mg
J9034	Inj., bendeka 1 mg	Injection, bendamustine hcl (bendeka), 1 mg
J9035	Bevacizumab injection	Injection, bevacizumab, 10 mg
J9036	Inj. belrapzo/bendamustine	Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg
J9037	Inj belantamab mafodot blmf	Injection, belantamab mafodotin-blmf, 0.5 mg
J9039	Injection, blinatumomab	Injection, blinatumomab, 1 microgram
J9040	Bleomycin sulfate injection	Injection, bleomycin sulfate, 15 units
J9041	Injection, bortezomib, 0.1mg	Injection, bortezomib, 0.1 mg
J9042	Brentuximab vedotin inj	Injection, brentuximab vedotin, 1 mg
J9043	Cabazitaxel injection	Injection, cabazitaxel, 1 mg
J9044	Inj, bortezomib, nos, 0.1 mg	Injection, bortezomib, not otherwise specified, 0.1 mg
J9045	Carboplatin injection	Injection, carboplatin, 50 mg
J9046	Inj, bortezomib, dr. reddy's	Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg
J9047	Injection, carfilzomib, 1 mg	Injection, carfilzomib, 1 mg
J9048	Inj, bortezomib freseniuskab	Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg
J9049	Inj, bortezomib, hospira	Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg
J9050	Carmustine injection	Injection, carmustine, 100 mg
J9051	Inj, bortezomib (maia)	Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg
J9052	Inj, carmustine (accord)	Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg
J9055	Cetuximab injection	Injection, cetuximab, 10 mg
J9056	Inj, bendamustine, 1 mg	Injection, bendamustine hydrochloride (vivimusta), 1 mg
J9057	Inj., copanlisib, 1 mg	Injection, copanlisib, 1 mg
J9058	Inj apotex/bendamustine 1 mg	Injection, bendamustine hydrochloride (apotex), 1 mg
J9059	Inj bendamustine, baxter 1mg	Injection, bendamustine hydrochloride (baxter), 1 mg
J9060	Cisplatin 10 mg injection	Injection, cisplatin, powder or solution, 10 mg
J9061	Inj, amivantamab-vmjw	Injection, amivantamab-vmjw, 2 mg
J9063	Inj, elahere, 1 mg	Injection, mirvetuximab soravtansine-gynx, 1 mg
J9064	Inj, cabazitaxel (sandoz)	Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg
J9065	Inj cladribine per 1 mg	Injection, cladribine, per 1 mg
J9070	Cyclophosphamide 100 mg inj	Cyclophosphamide, 100 mg
J9071	Inj cyclophosphamd auromedic	Injection, cyclophosphamide (auromedics), 5 mg
J9072	Inj cyclophos dr.reddy's 5mg	Injection, cyclophosphamide (dr. reddy's), 5 mg
J9073	Inj cyclophosphamd (ingenus)	Injection, cyclophosphamide (ingenus), 5 mg
J9074	Inj, cyclophosphamd, sandoz	Injection, cyclophosphamide (sandoz), 5 mg
J9075	Inj, cyclophosphamide, nos	Injection, cyclophosphamide, not otherwise specified, 5 mg
J9098	Cytarabine liposome inj	Injection, cytarabine liposome, 10 mg
J9100	Cytarabine hcl 100 mg inj	Injection, cytarabine, 100 mg
J9118	Inj. calaspargase pegol-mknl	Injection, calaspargase pegol-mknl, 10 units
J9119	Inj., cemiplimab-rwlc, 1 mg	Injection, cemiplimab-rwlc, 1 mg
J9120	Dactinomycin injection	Injection, dactinomycin, 0.5 mg
J9130	Dacarbazine 100 mg inj	Dacarbazine, 100 mg
J9144	Daratumumab, hyaluronidase	Injection, daratumumab, 10 mg and hyaluronidase-fihj
J9145	Injection, daratumumab 10 mg	Injection, daratumumab, 10 mg
J9150	Daunorubicin injection	Injection, daunorubicin, 10 mg
J9151	Daunorubicin citrate inj	Injection, daunorubicin citrate, liposomal formulation, 10 mg
J9153	Inj daunorubicin, cytarabine	Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
J9155	Degarelix injection	Injection, degarelix, 1 mg
J9160	Denileukin diftitox inj	Injection, denileukin diftitox, 300 micrograms
J9165	Diethylstilbestrol injection	Injection, diethylstilbestrol diphosphate, 250 mg
J9171	Docetaxel injection	Injection, docetaxel, 1 mg
J9172	Docetaxel (ingenus), 1 mg	Injection, docetaxel (ingenus), not therapeutically equivalent to j9171, 1 mg
J9173	Inj., durvalumab, 10 mg	Injection, durvalumab, 10 mg
J9175	Elliotts b solution per ml	Injection, elliotts' b solution, 1 ml
J9176	Injection, elotuzumab, 1mg	Injection, elotuzumab, 1 mg
J9177	Inj enfort vedo-ejfv 0.25mg	Injection, enfortumab vedotin-ejfv, 0.25 mg
J9178	Inj, epirubicin hcl, 2 mg	Injection, epirubicin hcl, 2 mg
J9179	Eribulin mesylate injection	Injection, eribulin mesylate, 0.1 mg
J9181	Etoposide injection	Injection, etoposide, 10 mg
J9185	Fludarabine phosphate inj	Injection, fludarabine phosphate, 50 mg
J9190	Fluorouracil injection	Injection, fluorouracil, 500 mg
J9196	Inj gemcitabine hcl (accord)	Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg
J9198	Inj. infugem, 100 mg	Injection, gemcitabine hydrochloride, (infugem), 100 mg
J9199	Injection, infugem, 200 mg	Injection, gemcitabine hydrochloride (infugem), 200 mg
J9200	Floxuridine injection	Injection, floxuridine, 500 mg
J9201	In gemcitabine hcl nos 200mg	Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
J9202	Goserelin acetate implant	Goserelin acetate implant, per 3.6 mg
J9203	Gemtuzumab ozogamicin 0.1 mg	Injection, gemtuzumab ozogamicin, 0.1 mg
J9204	Inj mogamulizumab-kpkc, 1 mg	Injection, mogamulizumab-kpkc, 1 mg
J9205	Inj irinotecan liposome 1 mg	Injection, irinotecan liposome, 1 mg
J9206	Irinotecan injection	Injection, irinotecan, 20 mg
J9207	Ixabepilone injection	Injection, ixabepilone, 1 mg
J9208	Ifosfamide injection	Injection, ifosfamide, 1 gram
J9209	Mesna injection	Injection, mesna, 200 mg
J9210	Inj., emapalumab-lzsg, 1 mg	Injection, emapalumab-lzsg, 1 mg
J9211	Idarubicin hcl injection	Injection, idarubicin hydrochloride, 5 mg
J9212	Interferon alfacon-1 inj	Injection, interferon alfacon-1, recombinant, 1 microgram
J9213	Interferon alfa-2a inj	Injection, interferon, alfa-2a, recombinant, 3 million units
J9214	Interferon alfa-2b inj	Injection, interferon, alfa-2b, recombinant, 1 million units
J9215	Interferon alfa-n3 inj	Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu
J9216	Interferon gamma 1-b inj	Injection, interferon, gamma 1-b, 3 million units
J9217	Leuprolide acetate suspnsion	Leuprolide acetate (for depot suspension), 7.5 mg
J9218	Leuprolide acetate injeciton	Leuprolide acetate, per 1 mg
J9219	Leuprolide acetate implant	Leuprolide acetate implant, 65 mg
J9223	Inj. lurbinectedin, 0.1 mg	Injection, lurbinectedin, 0.1 mg
J9225	Vantas implant	Histrelin implant (vantas), 50 mg
J9226	Supprelin la implant	Histrelin implant (supprelin la), 50 mg
J9227	Inj. isatuximab-irfc 10 mg	Injection, isatuximab-irfc, 10 mg
J9228	Ipilimumab injection	Injection, ipilimumab, 1 mg
J9229	Inj inotuzumab ozogam 0.1 mg	Injection, inotuzumab ozogamicin, 0.1 mg
J9230	Mechlorethamine hcl inj	Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg
J9245	Inj melpha hydroch nos 50 mg	Injection, melphalan hydrochloride, not otherwise specified, 50 mg
J9246	Inj., evomela, 1 mg	Injection, melphalan (evomela), 1 mg
J9247	Inj, melphalan flufenami 1mg	Injection, melphalan flufenamide, 1mg
J9248	Inj melphalan (hepzato) 1 mg	Injection, melphalan (hepzato), 1 mg
J9249	Inj, melphalan (apotex) 1 mg	Injection, melphalan (apotex), 1 mg
J9250	Methotrexate sodium inj	Methotrexate sodium, 5 mg
J9255	Inj, methotrexate (accord)	Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg
J9258	Paclitaxel (teva)	Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mg
J9259	Paclitaxel (american regent)	Injection, paclitaxel protein-bound particles (american regent), not therapeutically equivalent to j9264, 1 mg
J9260	Inj methotrexate sodium 50mg	Injection, methotrexate sodium, 50 mg
J9261	Nelarabine injection	Injection, nelarabine, 50 mg
J9262	Inj, omacetaxine mep, 0.01mg	Injection, omacetaxine mepesuccinate, 0.01 mg
J9263	Oxaliplatin	Injection, oxaliplatin, 0.5 mg
J9264	Paclitaxel protein bound	Injection, paclitaxel protein-bound particles, 1 mg
J9265	Paclitaxel injection	Injection, paclitaxel, 30 mg
J9266	Pegaspargase injection	Injection, pegaspargase, per single dose vial
J9267	Paclitaxel injection	Injection, paclitaxel, 1 mg
J9268	Pentostatin injection	Injection, pentostatin, 10 mg
J9269	Inj. tagraxofusp-erzs 10 mcg	Injection, tagraxofusp-erzs, 10 micrograms
J9270	Plicamycin (mithramycin) inj	Injection, plicamycin, 2.5 mg
J9271	Inj pembrolizumab	Injection, pembrolizumab, 1 mg
J9272	Inj, dostarlimab-gxly, 10 mg	Injection, dostarlimab-gxly, 10 mg
J9273	Inj tisotu vedotin-tftv, 1mg	Injection, tisotumab vedotin-tftv, 1 mg
J9274	Inj, tebentafusp-tebn, 1 mcg	Injection, tebentafusp-tebn, 1 microgram
J9280	Mitomycin injection	Injection, mitomycin, 5 mg
J9281	Mitomycin instillation	Mitomycin pyelocalyceal instillation, 1 mg
J9285	Inj, olaratumab, 10 mg	Injection, olaratumab, 10 mg
J9286	Inj glofitamab gxbm, 2.5 mg	Injection, glofitamab-gxbm, 2.5 mg
J9293	Mitoxantrone hydrochl / 5 mg	Injection, mitoxantrone hydrochloride, per 5 mg
J9294	Inj pemetrexed, hospira 10mg	Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg
J9295	Injection, necitumumab, 1 mg	Injection, necitumumab, 1 mg
J9296	Inj pemetrexed (accord) 10mg	Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg
J9297	Inj pemetrexed (sandoz) 10mg	Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg
J9298	Inj nivol relatlimab 3mg/1mg	Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg
J9299	Injection, nivolumab	Injection, nivolumab, 1 mg
J9300	Gemtuzumab ozogamicin inj	Injection, gemtuzumab ozogamicin, 5 mg
J9301	Obinutuzumab inj	Injection, obinutuzumab, 10 mg
J9302	Ofatumumab injection	Injection, ofatumumab, 10 mg
J9303	Panitumumab injection	Injection, panitumumab, 10 mg
J9304	Inj. pemetrexed, 10 mg	Injection, pemetrexed (pemfexy), 10 mg
J9305	Inj. pemetrexed nos 10mg	Injection, pemetrexed, not otherwise specified, 10 mg
J9306	Injection, pertuzumab, 1 mg	Injection, pertuzumab, 1 mg
J9307	Pralatrexate injection	Injection, pralatrexate, 1 mg
J9308	Injection, ramucirumab	Injection, ramucirumab, 5 mg
J9309	Inj, polatuzumab vedotin 1mg	Injection, polatuzumab vedotin-piiq, 1 mg
J9310	Rituximab injection	Injection, rituximab, 100 mg
J9311	Inj rituximab, hyaluronidase	Injection, rituximab 10 mg and hyaluronidase
J9312	Inj., rituximab, 10 mg	Injection, rituximab, 10 mg
J9313	Inj., lumoxiti, 0.01 mg	Injection, moxetumomab pasudotox-tdfk, 0.01 mg
J9314	Inj pemetrexed (teva) 10mg	Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg
J9315	Romidepsin injection	Injection, romidepsin, 1 mg
J9316	Pertuzu, trastuzu, 10 mg	Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg
J9317	Sacituzumab govitecan-hziy	Injection, sacituzumab govitecan-hziy, 2.5 mg
J9318	Inj romidepsin non-lyo 0.1mg	Injection, romidepsin, non-lyophilized, 0.1 mg
J9319	Inj romidepsin lyophil 0.1mg	Injection, romidepsin, lyophilized, 0.1 mg
J9320	Streptozocin injection	Injection, streptozocin, 1 gram
J9321	Inj epcoritamab-bysp 0.16 mg	Injection, epcoritamab-bysp, 0.16 mg
J9322	Inj pemetrexed (bluepoint)	Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg
J9323	Inj pemetrexed ditromethamin	Injection, pemetrexed ditromethamine, 10 mg
J9324	Inj, pemrydi rtu, 10 mg	Injection, pemetrexed (pemrydi rtu), 10 mg
J9325	Inj talimogene laherparepvec	Injection, talimogene laherparepvec, per 1 million plaque forming units
J9328	Temozolomide injection	Injection, temozolomide, 1 mg
J9330	Temsirolimus injection	Injection, temsirolimus, 1 mg
J9331	Inj sirolimus prot part 1 mg	Injection, sirolimus protein-bound particles, 1 mg
J9332	Inj efgartigimod 2mg	Injection, efgartigimod alfa-fcab, 2mg
J9333	Inj ronzanolixizum-noli 1 mg	Injection, rozanolixizumab-noli, 1 mg
J9334	Inj efgart-alfa 2mg hya-qvfc	Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc
J9340	Thiotepa injection	Injection, thiotepa, 15 mg
J9345	Inj, retifanlimab-dlwr, 1 mg	Injection, retifanlimab-dlwr, 1 mg
J9347	Inj, tremelimumab-actl, 1 mg	Injection, tremelimumab-actl, 1 mg
J9348	Inj. naxitamab-gqgk, 1 mg	Injection, naxitamab-gqgk, 1 mg
J9349	Inj., tafasitamab-cxix	Injection, tafasitamab-cxix, 2 mg
J9350	Inj mosunetuzumab-axgb, 1 mg	Injection, mosunetuzumab-axgb, 1 mg
J9351	Topotecan injection	Injection, topotecan, 0.1 mg
J9352	Injection trabectedin 0.1mg	Injection, trabectedin, 0.1 mg
J9353	Inj. margetuximab-cmkb, 5 mg	Injection, margetuximab-cmkb, 5 mg
J9354	Inj, ado-trastuzumab emt 1mg	Injection, ado-trastuzumab emtansine, 1 mg
J9355	Inj trastuzumab excl biosimi	Injection, trastuzumab, excludes biosimilar, 10 mg
J9356	Inj. herceptin hylecta, 10mg	Injection, trastuzumab, 10 mg and hyaluronidase-oysk
J9357	Valrubicin injection	Injection, valrubicin, intravesical, 200 mg
J9358	Inj fam-trastu deru-nxki 1mg	Injection, fam-trastuzumab deruxtecan-nxki, 1 mg
J9359	Inj lon tesirin-lpyl 0.075mg	Injection, loncastuximab tesirine-lpyl, 0.075 mg
J9360	Vinblastine sulfate inj	Injection, vinblastine sulfate, 1 mg
J9361	Inj, efbemalenograstim alfa-	Injection, efbemalenograstim alfa-vuxw, 0.5 mg
J9370	Vincristine sulfate 1 mg inj	Vincristine sulfate, 1 mg
J9371	Inj, vincristine sul lip 1mg	Injection, vincristine sulfate liposome, 1 mg
J9376	Inj pozelimab-bbfg, 1 mg	Injection, pozelimab-bbfg, 1 mg
J9380	Inj teclistamab cqyv 0.5 mg	Injection, teclistamab-cqyv, 0.5 mg
J9381	Inj teplizumab mzwv 5 mcg	Injection, teplizumab-mzwv, 5 mcg
J9390	Vinorelbine tartrate inj	Injection, vinorelbine tartrate, 10 mg
J9393	Inj, fulvestrant (teva)	Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg
J9394	Inj, fulvestrant (fresenius)	Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg
J9395	Injection, fulvestrant	Injection, fulvestrant, 25 mg
J9400	Inj, ziv-aflibercept, 1mg	Injection, ziv-aflibercept, 1 mg
J9600	Porfimer sodium injection	Injection, porfimer sodium, 75 mg
J9999	Chemotherapy drug	Not otherwise classified, antineoplastic drugs
JA	Administered intravenously	Administered intravenously
JB	Administered subcutaneously	Administered subcutaneously
JC	Skin substitute graft	Skin substitute used as a graft
JD	Skin sub not used as a graft	Skin substitute not used as a graft
JE	Administered via dialysate	Administered via dialysate
JF	Compounded drug	Compounded drug
JG	340b acquired drug	Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
JK	Drug supply 1 month or less	One month supply or less of drug or biological
JL	Drug 3 month supply	Three month supply of drug or biological
JW	Discarded drug not administe	Drug amount discarded/not administered to any patient
JZ	Zero drug wasted	Zero drug amount discarded/not administered to any patient