BONIVA J Code: J1740
Injection, ibandronate sodium, 1 mg
Drug & Product Overview
About BONIVA
Boniva is a medication aligned to the HCPCS J Code: J1740 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: Ibandronate is used to prevent and treat certain types of bone loss (osteoporosis). Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases after menopause, as you age, or if you take corticosteroid medications (such as prednisone) for long periods. This medication works by slowing bone loss to help maintain strong bones and reduce the risk of broken bones (fractures). Ibandronate belongs to a class of medications called bisphosphonates.
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. Showing 3 of 5 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 25021-0827-61 | Ibandronate Sodium | Sagent Pharmaceuticals | 3 | 3 MG / 3 ML |
| 55150-0191-83 | Ibandronate Sodium | Eugia Us Llc | 3 | 3 MG / 3 ML |
| 60505-6097-00 | Ibandronate Sodium | Apotex Corp. | 3 | 3 MG / 3 ML |
| •••••-••••-•• Log in to view | BONIVA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | BONIVA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
BONIVA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →BONIVA 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 |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Boniva (J1740) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1740. Wastage billing guide →
BONIVA Medically Unlikely Edits (MUE)
The most billing units of J1740 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 →
BONIVA 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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