Home Drug Codes J Codes J7294 · ANNOVERA
Updated July 1st, 2026

ANNOVERA J Code: J7294

Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each
HCPCS Added Date October 1, 2021
Manufacturer TherapeuticsMD
Generic Status Single-Source; Branded

About ANNOVERA

Annovera is a medication aligned to the HCPCS J Code: J7294 for billing, pricing, and reimbursement purposes in the United States. It is a Women's Health drug manufactured by TherapeuticsMD.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J7294. Package detail is available to logged-in subscribers.

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ANNOVERA Medically Unlikely Edits (MUE)

The most billing units of J7294 Medicare will pay for one patient in one day, as published by CMS. 1 unit = each.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

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 →

Not on the CMS JW / JZ list

CMS does not include Annovera (J7294) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7294. Wastage billing guide →

ANNOVERA 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.

Prevention of pregnancy

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Frequently Asked Questions

Is there an available Annovera billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for ANNOVERA.
Are there any available Annovera patient assistance programs?
ANNOVERA patient assistance information can be found through TherapeuticsMD. Visit Here →
Where can I find Annovera prescribing information?
ANNOVERA prescribing information can be found at the link below: Visit Here →
Where can I find Annovera side effect information?
Information regarding ANNOVERA's side effects can be found at MedlinePlus Visit Here →
Does billing ANNOVERA require JZ/JW wastage modifiers?
CMS does not include ANNOVERA (J7294) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7294. For more information, visit the link below.

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