Multiple Manufacturers

ARIXTRA

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

Multiple Manufacturers

Arixtra HCPCS:

J1652

HCPCS Code Descriptor:

Injection, fondaparinux sodium, 0.5 mg

Category:

J Code

Arixtra NDCs:

67457-0585-08, 67457-0584-06, 67457-0583-04, 55150-0232-10, 55150-0231-10, 55150-0233-10, 67457-0592-10, 70710-1515-06, 55111-0681-10, 55111-0680-10, 55111-0679-10, 43598-0606-10, 00781-3476-95, 00781-3465-95, 43598-0608-10, 00781-3454-95, 67457-0582-10, 43598-0609-10, 55111-0678-10, 70710-1514-06, 00781-3443-95, 55150-0230-10, 00781-3476-12, 00781-3454-12, 43598-0607-10, 00781-3465-12, 55111-0680-02, 55111-0681-02, 55111-0679-02, 43598-0608-02, 00781-3443-12, 70710-1514-09, 43598-0609-02, 55111-0678-02, 43598-0606-02, 43598-0607-02, 67457-0595-08, 67457-0594-06, 67457-0593-04

Primary Type:

Anti-coagulant

Generic/Specialty Status:

Multi-Source

Package Type:

Syringe

Route of Administration:

Subcutaneous

Arixtra CPT Codes:

Some of the most common CPT administration codes for 'buy and bill' drugs can be found at the following link:

Potential NDC Listing Errors:

We have identified listing errors with the following NDCs:

67457-0593-04, 67457-0595-08, 43598-0607-02, 43598-0606-02, 43598-0609-02, 55111-0678-02, 70710-1514-09, 00781-3443-12, 55111-0679-02, 43598-0608-02, 00781-3465-12, 43598-0607-10, 00781-3454-12, 55150-0230-10, 00781-3443-95, 70710-1514-06, 55111-0678-10, 43598-0609-10, 67457-0582-10, 00781-3454-95, 43598-0608-10, 00781-3465-95, 00781-3476-95, 43598-0606-10, 55111-0679-10, 55111-0680-10, 55111-0681-10, 70710-1515-06, 67457-0592-10, 55150-0233-10, 55150-0231-10, 67457-0583-04, 67457-0584-06, 67457-0585-08, 67457-0594-06, 55111-0681-02, 55111-0680-02, 00781-3476-12, 55150-0232-10

About Arixtra:

ARIXTRA is a medication manufactured by multiple manufacturers and aligned to the J Code: J1652. ARIXTRA is administered via the subcutaneous route of administration.

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J1652 Added Date:

January 1, 2003

J1652 Effective Date:

January 1, 2003

J1652 Termination Date:

HCPCS Active

We have not yet identified a manufacturer source of Arixtra billing and coding information.
Arixtra patient assistance information can be found through Viatris Patient Assistance Program at the URL: https://www.viatris.com/en-us/lm/united-states/patient-assistance-program
ARIXTRA prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date.
Our team has not yet identified a source of side effects information for ARIXTRA. Please check back in a few weeks.