COPAXONE J Code: J1595

Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J1595 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, glatiramer acetate, 20 mg

HCPCS Added Date January 1, 2004

Manufacturer Multiple Manufacturers

Route of Administration Subcutaneous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Solution

About COPAXONE

Copaxone is a medication aligned to the HCPCS J Code: J1595 for billing, pricing, and reimbursement purposes in the United States. Classified under Neurology, it is administered via the subcutaneous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

11 NDC packages are crosswalked to J1595. Package detail is available to logged-in subscribers.

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

Login to view 11 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

COPAXONE Pricing & Reimbursement

J1595 Private Payer Reimbursement

$74.19 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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COPAXONE CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Copaxone (J1595) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1595. Wastage billing guide →

COPAXONE Medically Unlikely Edits (MUE)

The most billing units of J1595 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 20 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

1 unit / day

= 20 mg per day

Hospital Outpatient

2 units / day

= 40 mg per day

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 →

COPAXONE 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.

Relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease Relapsing forms of multiple sclerosis (clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease) relapsing forms of multiple sclerosis (clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease)

Frequently Asked Questions

Is there an available Copaxone billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for COPAXONE.

Are there any available Copaxone patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for COPAXONE.

Where can I find Copaxone prescribing information?

COPAXONE 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. Visit Here →

Where can I find Copaxone side effect information?

Our team has not yet identified a source of side effects information for COPAXONE. Please check back in a few weeks.

Does billing COPAXONE require JZ/JW wastage modifiers?

CMS does not include COPAXONE (J1595) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1595. 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.