Home › Drug Codes › J Codes › J9074 · Cyclophosphamide (Sandoz)
Updated July 1st, 2026

Cyclophosphamide (Sandoz) J Code: J9074

Injection, cyclophosphamide (sandoz), 5 mg

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Q4 2026 Medicare Payment Limit for J9074, effective October 1, 2026: $3.238 per HCPCS billing unit, down 5.8% from $3.438. From CMS's final file.

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Medicare Payment Limit ?
$3.438
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$3.438
/ HCPCS billing unit · APC 0785
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, cyclophosphamide (sandoz), 5 mg
HCPCS Added Date April 1, 2024
Manufacturer Sandoz
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Multi-Dose
Dosage Form Injection, Solution, Concentrate

About Cyclophosphamide (Sandoz)

Cyclophosphamide (sandoz) is a medication aligned to the HCPCS J Code: J9074 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by Sandoz.

According to CMS Drug Use Information: Cyclophosphamide is used to treat various types of cancer. It is a chemotherapy drug that works by slowing or stopping cell growth. Cyclophosphamide also works by decreasing your immune system's response to various diseases. It is used to treat a certain type of kidney disease in children after other treatments have not worked.

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 6 NDCs — log in for the full crosswalk.

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Cyclophosphamide (Sandoz) Pricing & Reimbursement

J9074 Private Payer Reimbursement
$3.82 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Cyclophosphamide 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J9071 Eugia US Cyclophosphamide Injection, cyclophosphamide (auromedics), 5 mg
J9072 Avyxa Pharma Cyclophosphamide Injection, cyclophosphamide (frindovyx), 5 mg
J9073 Generic Code (Multiple Manufacturers) Cyclophosphamide Injection, cyclophosphamide (dr. reddy's), 5 mg
J9074 Sandoz Cyclophosphamide Injection, cyclophosphamide (sandoz), 5 mg
J9075 Generic Code (Multiple Manufacturers) Cyclophosphamide Injection, cyclophosphamide, not otherwise specified, 5 mg
J9076 Log in to view
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Cyclophosphamide (Sandoz) 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
96409 Chemotherapy administration; intravenous, push technique, single or initial substance/drug
96411 Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)
96413 Login for More Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug Login for More
96415 Login for More Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) Login for More
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

Cyclophosphamide (Sandoz) Medically Unlikely Edits (MUE)

The most billing units of J9074 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 mg.

Practitioner Office & Hospital Outpatient
1,500 units / day
= 7,500 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

Cyclophosphamide (Sandoz) 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.

adenocarcinoma of the ovary carcinoma of the breast leukemias malignant lymphomas multiple myeloma mycosis fungoides neuroblastoma retinoblastoma

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Frequently Asked Questions

Is there an available Cyclophosphamide (Sandoz) billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Cyclophosphamide (Sandoz).
Are there any available Cyclophosphamide (Sandoz) patient assistance programs?
Cyclophosphamide (Sandoz) patient assistance information can be found through Sandoz. Visit Here →
Where can I find HEPZATO prescribing information?
Cyclophosphamide (Sandoz) prescribing information can be found at the link below: Visit Here →
Where can I find Cyclophosphamide (Sandoz) side effect information?
Our team has not yet identified a source of side effect information for Cyclophosphamide (Sandoz).
Does billing Cyclophosphamide (Sandoz) require JZ/JW wastage modifiers?
CMS does not include Cyclophosphamide (Sandoz) (J9074) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9074. For more information, visit the link below.

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