ARISTADA INITIO J Code: J1943
Injection, aripiprazole lauroxil, (aristada initio), 1 mg
Q4 2026 Medicare Payment Limit for J1943, effective October 1, 2026: $3.459 per HCPCS billing unit, down 0.1% from $3.461. From CMS's final file.
Drug & Product Overview
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 |
ARISTADA INITIO Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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
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 |
|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular |
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.
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.
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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Does billing ARISTADA INITIO require JZ/JW wastage modifiers?
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