CLOZAPINE S Code: S0136

Drug & Product Overview

HCPCS Descriptor Clozapine, 25 mg

HCPCS Added Date April 1, 2003

Manufacturer Sun Pharma

Route of Administration Oral

Generic Status Single-Source; Branded

About CLOZAPINE

Clozapine is a medication aligned to the HCPCS S Code: S0136 for billing, pricing, and reimbursement purposes in the United States. It is a Psychiatric drug administered via the oral route and manufactured by Sun Pharma.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to S0136. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	CLOZAPINE

Login to view 1 NDC package View pricing, complete NDC-to-HCPCS alignments, and package details.

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CLOZAPINE Pricing & Reimbursement

S0136 Private Payer Reimbursement

$0.64 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Not on the CMS JW / JZ list

CMS does not include Clozapine (S0136) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0136. Wastage billing guide →

CLOZAPINE 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.

Treatment-Resistant Schizophrenia Reduction in the Risk of Recurrent Suicidal Behavior in Schizophrenia or Schizoaffective Disorder

Frequently Asked Questions

Is there an available Clozapine billing and coding guide?

We have not yet identified a manufacturer source of Clozapine billing and coding information.

Are there any available Clozapine patient assistance programs?

Our team did not identify a source for Clozapine patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Clozapine prescribing information?

CLOZAPINE prescribing information can be found at the link below: Visit Here →

Where can I find Clozapine side effect information?

Information regarding CLOZAPINE's side effects can be found at MedlinePlus Visit Here →

Does billing CLOZAPINE require JZ/JW wastage modifiers?

CMS does not include CLOZAPINE (S0136) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0136. 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.