AJOVY SYRINGE J Code: J3031

Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J3031 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor 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)

HCPCS Added Date October 1, 2019

Manufacturer Teva

Route of Administration Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection

About AJOVY SYRINGE

Ajovy Syringe is a medication aligned to the HCPCS J Code: J3031 for billing, pricing, and reimbursement purposes in the United States. It is a Neurology drug administered via the subcutaneous route and manufactured by Teva.

Manufacturers, reach out to us to add more information.

NDC Code Information

3 NDC packages are crosswalked to J3031. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	AJOVY SYRINGE
	AJOVY SYRINGE
	AJOVY SYRINGE

Login to view 3 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

AJOVY SYRINGE Pricing & Reimbursement

J3031 Private Payer Reimbursement

$3.31 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

AJOVY SYRINGE CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Ajovy Syringe (J3031) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3031. Wastage billing guide →

AJOVY SYRINGE Medically Unlikely Edits (MUE)

The most billing units of J3031 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

675 units / day

= 675 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 →

AJOVY SYRINGE 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.

episodic migraine migraine

Frequently Asked Questions

Is there an available Ajovy Syringe billing and coding guide?

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

Are there any available Ajovy Syringe patient assistance programs?

AJOVY SYRINGE patient assistance information can be found through Teva. Visit Here →

Where can I find Ajovy Syringe prescribing information?

AJOVY SYRINGE prescribing information can be found at the link below: Visit Here →

Where can I find Ajovy Syringe side effect information?

Information regarding AJOVY SYRINGE's side effects can be found at MedlinePlus Visit Here →

Does billing AJOVY SYRINGE require JZ/JW wastage modifiers?

CMS does not include AJOVY SYRINGE (J3031) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3031. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.