Home Drug Codes J Codes J0571 · BUPRENORPHINE
Updated July 1st, 2026

BUPRENORPHINE J Code: J0571

Buprenorphine, oral, 1 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor Buprenorphine, oral, 1 mg
HCPCS Added Date January 1, 2015
Manufacturer Hikma
Route of Administration Sublingual
Generic Status Single-Source; Branded
Dosage Form Tablet

About BUPRENORPHINE

Buprenorphine is a medication aligned to the HCPCS J Code: J0571 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Addiction drug administered via the sublingual route and manufactured by Hikma.

Manufacturers, reach out to us to add more information.

NDC Code Information

4 NDC packages are crosswalked to J0571. Package detail is available to logged-in subscribers.

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BUPRENORPHINE Pricing & Reimbursement

J0571 Private Payer Reimbursement
$0.39 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

BUPRENORPHINE Medically Unlikely Edits (MUE)

The most billing units of J0571 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
0 units / day
Not payable in this setting

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.
Not on the CMS JW / JZ list

CMS does not include Buprenorphine (J0571) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0571. Wastage billing guide →

BUPRENORPHINE 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.

Opioid Dependence Opioid dependence
Drug Class
Partial Opioid Agonist [EPC]Partial Opioid Agonists [MoA]

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Frequently Asked Questions

Is there an available Buprenorphine billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for BUPRENORPHINE.
Are there any available Buprenorphine patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for BUPRENORPHINE.
Where can I find Buprenorphine prescribing information?
BUPRENORPHINE prescribing information can be found at the link below: Visit Here →
Where can I find Buprenorphine side effect information?
Information regarding BUPRENORPHINE's side effects can be found at MedlinePlus Visit Here →
Does billing BUPRENORPHINE require JZ/JW wastage modifiers?
CMS does not include BUPRENORPHINE (J0571) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0571. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.