ARISTADA INITIO J Code: J1943

Drug & Product Overview

HCPCS Descriptor Injection, aripiprazole lauroxil, (aristada initio), 1 mg

HCPCS Added Date October 1, 2019

Manufacturer Alkermes

Route of Administration Intramuscular

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Suspension, Extended Release

About ARISTADA INITIO

Aristada Initio is a medication aligned to the HCPCS J Code: J1943 for billing, pricing, and reimbursement purposes in the United States. Classified under Psychiatric, it is administered via the intramuscular route and manufactured by Alkermes.

According to CMS Drug Use Information: Drug uses not available

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
65757-0500-03	Aristada Initio	Alkermes, Inc.	675	675 MG / 2.4 ML

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ARISTADA INITIO Pricing & Reimbursement

J1943 Private Payer Reimbursement

$3.21 / 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

Aripiprazole Lauroxil 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J1943	Alkermes	Aripiprazole Lauroxil	Injection, aripiprazole lauroxil, (aristada initio), 1 mg
J1944	Alkermes	Aripiprazole Lauroxil	Injection, aripiprazole lauroxil, (aristada), 1 mg

ARISTADA INITIO CPT Administration Codes

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

JW / JZ modifiers apply

CMS has identified Aristada Initio (J1943) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ARISTADA INITIO Medically Unlikely Edits (MUE)

The most billing units of J1943 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 →

ARISTADA INITIO 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.

Schizophrenia

Drug Class

Atypical Antipsychotic [EPC]

Frequently Asked Questions

Is there an available Aristada Initio billing and coding guide?

Billing and coding information for ARISTADA INITIO can be found through Alkermes. Visit Here →

Are there any available Aristada Initio patient assistance programs?

ARISTADA INITIO patient assistance information can be found through Alkermes. Visit Here →

Where can I find Aristada Initio prescribing information?

ARISTADA INITIO prescribing information can be found at the link below: Visit Here →

Where can I find Aristada Initio side effect information?

Information regarding ARISTADA INITIO's side effects can be found at MedlinePlus Visit Here →

Does billing ARISTADA INITIO require JZ/JW wastage modifiers?

CMS has identified ARISTADA INITIO(J1943) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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