DEXRAZOXANE J Code: J1190

Drug & Product Overview

HCPCS Descriptor Injection, dexrazoxane hydrochloride, per 250 mg

HCPCS Added Date January 1, 1997

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution | Kit

About DEXRAZOXANE

Dexrazoxane is a medication aligned to the HCPCS J Code: J1190 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Dexrazoxane is used to reduce the risk and severity of heart damage caused by doxorubicin treatment and similar cancer chemotherapy medications. Heart damage limits the length of time you can be treated with doxorubicin. Dexrazoxane allows you to continue doxorubicin treatment for longer. When used for this purpose, dexrazoxane treatment is usually started after you have received several doses of doxorubicin. It is usually not given with the first doses of doxorubicin since doing so may reduce the effectiveness of doxorubicin.

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 5 of 11 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00143-9247-01	Dexrazoxane	Hikma Pharmaceuticals USA Inc.	1	250 MG
55150-0434-01	Dexrazoxane	Eugia Us Llc	1	Kit
72205-0247-01	Dexrazoxane	Novadoz Pharmaceuticals LLC	1	250 MG / 25 ML
72266-0101-01	Dexrazoxane	Fosun Pharma USA Inc.	2	500 MG / 50 ML
72611-0716-01	Dexrazoxane	Almaject, Inc.	2	500 MG / 50 ML
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DEXRAZOXANE Pricing & Reimbursement

J1190 Private Payer Reimbursement

$62.49 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

DEXRAZOXANE CPT Administration Codes

CPT Code	Description
96413	Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415	Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)

JW / JZ modifiers apply

CMS has identified Dexrazoxane (J1190) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DEXRAZOXANE Medically Unlikely Edits (MUE)

The most billing units of J1190 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 250 mg.

Practitioner Office & Hospital Outpatient

8 units / day

= 2,000 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 →

DEXRAZOXANE 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.

Cardiomyopathy associated with doxorubicin administration cardiomyopathy associated with doxorubicin administration in metastatic breast cancer

Drug Class

Cytoprotective Agent [EPC]

Frequently Asked Questions

Is there an available Dexrazoxane billing and coding guide?

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

Are there any available Dexrazoxane patient assistance programs?

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

Where can I find Dexrazoxane prescribing information?

DEXRAZOXANE 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 Dexrazoxane side effect information?

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

Does billing DEXRAZOXANE require JZ/JW wastage modifiers?

CMS has identified DEXRAZOXANE(J1190) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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