ALIMTA J Code: J9305
Injection, pemetrexed, not otherwise specified, 10 mg
Q4 2026 Medicare Payment Limit for J9305, effective October 1, 2026: $1.23 per HCPCS billing unit, down 82.3% from $6.952. From CMS's final file.
Drug & Product Overview
About ALIMTA
Alimta is a medication aligned to the HCPCS J Code: J9305 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: Pemetrexed is used to treat certain types of cancer (such as lung cancer, mesothelioma). It is a chemotherapy drug that works by slowing or stopping the growth of cancer cells.
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. Showing 5 of 46 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00002-7623-01 | Alimta | Eli Lilly and Company | 50 | 500 MG / 20 ML |
| 25021-0260-10 | Pemetrexed | Sagent Pharmaceuticals | 10 | 100 MG / 4.2 ML |
| 43598-0370-74 | Pemetrexed disodium | Dr. Reddys Laboratories Inc | 100 | 1000 MG / 40 ML |
| 50742-0341-01 | Pemetrexed | Ingenus Pharmaceuticals LLC | 50 | 500 MG |
| 55150-0381-01 | Pemetrexed | Eugia Us Llc | 10 | 100 MG / 4 ML |
| •••••-••••-•• Log in to view | ALIMTA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ALIMTA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ALIMTA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
ALIMTA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Pemetrexed 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| J9292 | Avyxa Pharma | Pemetrexed | Injection, pemetrexed dipotassium, 10 mg |
| J9294 | Hospira | Pemetrexed | Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg |
| J9296 | Accord | Pemetrexed | Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg |
| J9297 | Sandoz | Pemetrexed | Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg |
| J9304 | Generic Code (Multiple Manufacturers) | Pemetrexed | Injection, pemetrexed (pemfexy), 10 mg |
| J9305 | Generic Code (Multiple Manufacturers) | Pemetrexed | Injection, pemetrexed, not otherwise specified, 10 mg |
| J9314 Log in to view | Teva Log in to view | Pemetrexed Log in to view | Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg Log in to view |
| J9322 Log in to view | Bluepoint Laboratories Log in to view | Pemetrexed Log in to view | Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg Log in to view |
| J9323 Log in to view | Pfizer Log in to view | Pemetrexed Log in to view | Injection, pemetrexed ditromethamine, 10 mg Log in to view |
| J9324 Log in to view | Amneal Biosciences Log in to view | Pemetrexed Log in to view | Injection, pemetrexed (pemrydi rtu), 10 mg Log in to view |
ALIMTA 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 |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
CMS has identified Alimta (J9305) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
ALIMTA Medically Unlikely Edits (MUE)
The most billing units of J9305 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.
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 →
ALIMTA Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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