BELRAPZO J Code: J9036
Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg
Q4 2026 Medicare Payment Limit for J9036, effective October 1, 2026: $9.264 per HCPCS billing unit, down 20.1% from $11.599. From CMS's final file.
Drug & Product Overview
About BELRAPZO
Belrapzo is a medication aligned to the HCPCS J Code: J9036 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: This medication is used to treat certain types of cancer. Bendamustine belongs to a class of cancer chemotherapy drugs known as alkylating agents. It works by killing cancer cells or slowing their growth.
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 |
|---|---|---|---|---|
| 10019-0079-01 | Bendamustine Hydrochloride | Baxter Healthcare Corporation | 100 | 100 MG |
| 42367-0521-25 | Belrapzo | Eagle Pharmaceuticals, Inc | 100 | 100 MG / 4 ML |
| 60505-6228-00 | Bendamustine Hydrochloride | Apotex Corp | 100 | 125 MG / 5 ML |
BELRAPZO Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Bendamustine Hydrochloride 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| J9033 | Generic Code (Multiple Manufacturers) | Bendamustine Hydrochloride | Injection, bendamustine hydrochloride, not otherwise specified, 1 mg |
| J9034 | Teva | Bendamustine Hydrochloride | Injection, bendamustine hcl (bendeka), 1 mg |
| J9036 | Generic Code (Multiple Manufacturers) | Bendamustine Hydrochloride | Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg |
| J9056 | Generic Code (Multiple Manufacturers) | Bendamustine Hydrochloride | Injection, bendamustine hydrochloride (vivimusta), 1 mg |
BELRAPZO Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J9036 claims analytics on FocalPoint →
BELRAPZO 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 does not include Belrapzo (J9036) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9036. Wastage billing guide →
BELRAPZO Medically Unlikely Edits (MUE)
The most billing units of J9036 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 →
BELRAPZO 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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