ABILIFY ASIMTUFII J Code: J0402

Drug & Product Overview

HCPCS Descriptor Injection, aripiprazole (abilify asimtufii), 1 mg

HCPCS Added Date January 1, 2024

Manufacturer Otsuka

Route of Administration Intramuscular

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Suspension, Extended Release

About ABILIFY ASIMTUFII

Abilify Asimtufii is a medication aligned to the HCPCS J Code: J0402 for billing, pricing, and reimbursement purposes in the United States. This Psychiatric medication is administered via the intramuscular route and manufactured by Otsuka.

According to CMS Drug Use Information: This medication is used to treat a certain mental/mood disorder (schizophrenia). Some brands of this medication are also used to treat bipolar disorder. Extended-release aripiprazole injection is a long-acting form of aripiprazole. Aripiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
59148-0102-80	Abilify Asimtufii	Otsuka America Pharmaceutical, Inc	720	720 MG / 2.4 ML
59148-0114-80	Abilify Asimtufii	Otsuka America Pharmaceutical, Inc	960	960 MG / 3.2 ML

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ABILIFY ASIMTUFII Pricing & Reimbursement

J0402 Private Payer Reimbursement

$6.05 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

ABILIFY ASIMTUFII CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

ABILIFY ASIMTUFII Medically Unlikely Edits (MUE)

The most billing units of J0402 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

960 units / day

= 960 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ABILIFY ASIMTUFII Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Bipolar I Disorder Schizophrenia

Drug Class

Atypical Antipsychotic [EPC]

Frequently Asked Questions

Is there an available Abilify Asimtufii billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for ABILIFY ASIMTUFII.

Are there any available Abilify Asimtufii patient assistance programs?

ABILIFY ASIMTUFII patient assistance information can be found through OTSUKA AMERICA PHARMACEUTICALS, INC. Visit Here →

Where can I find Abilify Asimtufii prescribing information?

ABILIFY ASIMTUFII prescribing information can be found at the link below: Visit Here →

Where can I find Abilify Asimtufii side effect information?

Information regarding ABILIFY ASIMTUFII's side effects can be found at MedlinePlus Visit Here →

Does billing ABILIFY ASIMTUFII require JZ/JW wastage modifiers?

CMS does not include ABILIFY ASIMTUFII (J0402) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0402. For more information, visit the link below.

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