Home Drug Codes J Codes J8655 · AKYNZEO
Updated July 1st, 2026

AKYNZEO J Code: J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

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Q4 2026 Medicare Payment Limit for J8655, effective October 1, 2026: $455.762 per HCPCS billing unit, down 3.9% from $474.038. From CMS's final file.

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Medicare Payment Limit ?
$474.038
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$474.038
/ HCPCS billing unit · APC 9448
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Netupitant 300 mg and palonosetron 0.5 mg, oral
HCPCS Added Date January 1, 2016
Manufacturer Helsinn Therapeutics US
Route of Administration Oral
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Capsule

About AKYNZEO

Akynzeo is a medication aligned to the HCPCS J Code: J8655 for billing, pricing, and reimbursement purposes in the United States. This Anti-Emetic medication is administered via the oral route and manufactured by Helsinn Therapeutics US.

Manufacturers, reach out to us to add more information.

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
69639-0101-01 Akynzeo Helsinn Therapeutics (U.S.), Inc. 1 300 MG
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AKYNZEO Pricing & Reimbursement

J8655 Private Payer Reimbursement
$404.22 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

AKYNZEO CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96367 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

CMS does not include Akynzeo (J8655) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J8655. Wastage billing guide →

AKYNZEO Medically Unlikely Edits (MUE)

The most billing units of J8655 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 300 mg/0.5 mg.

Practitioner Office & Hospital Outpatient
1 unit / day
= 300 mg/0.5 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 →

mg/0.5 mg Enter a dose to see how many billing units it is and whether it is under the limit.

AKYNZEO 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.

Chemotherapy-induced nausea and vomiting
Drug Class
Breast Cancer Resistance Protein Inhibitors [MoA]Cytochrome P450 3A4 Inhibitors [MoA]Neurokinin 1 Antagonists [MoA]P-Glycoprotein Inhibitors [MoA]Serotonin 3 Receptor Antagonists [MoA]Serotonin-3 Receptor Antagonist [EPC]Substance P/Neurokinin-1 Receptor Antagonist [EPC]

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Frequently Asked Questions

Is there an available Akynzeo billing and coding guide?
Billing and coding information for AKYNZEO can be found through Helsinn Therapeutics. Visit Here →
Are there any available Akynzeo patient assistance programs?
AKYNZEO patient assistance information can be found through Helsinn Therapeutics. Visit Here →
Where can I find Akynzeo prescribing information?
AKYNZEO prescribing information can be found at the link below: Visit Here →
Where can I find Akynzeo side effect information?
Information regarding AKYNZEO's side effects can be found at MedlinePlus Visit Here →
Does billing AKYNZEO require JZ/JW wastage modifiers?
CMS does not include AKYNZEO (J8655) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J8655. For more information, visit the link below.

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