Home Drug Codes J Codes J1453 · EMEND
Updated July 1st, 2026

EMEND J Code: J1453

Injection, fosaprepitant, 1 mg

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Q4 2026 Medicare Payment Limit for J1453, effective October 1, 2026: $0.114 per HCPCS billing unit, down 7.3% from $0.123. From CMS's final file.

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Medicare Payment Limit ?
$0.123
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
25
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Drug & Product Overview

HCPCS Descriptor Injection, fosaprepitant, 1 mg
HCPCS Added Date January 1, 2009
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Not Available

About EMEND

Emend is a medication aligned to the HCPCS J Code: J1453 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Emetic drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Fosaprepitant is used with other medications to help prevent nausea and vomiting caused by cancer drug treatment (chemotherapy). Fosaprepitant works by blocking one of the body's natural substances (substance P/neurokinin 1) that causes vomiting. This medication will not treat nausea or vomiting that has already started. Ask your doctor what you should do if you already have nausea or vomiting.

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 25 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00006-3061-00 Emend Merck Sharp & Dohme LLC 150 150 MG / 5 ML
00143-9384-01 Fosaprepitant Dimeglumine Hikma Pharmaceuticals USA Inc. 150 150 MG / 5 ML
16714-0248-01 Fosaprepitant NorthStar RxLLC 150 150 MG / 5 ML
43598-0859-11 Fosaprepitant Dr. Reddy's Laboratories Inc., 150 150 MG / 5 ML
55150-0299-01 Fosaprepitant Dimeglumine Eugia US LLC 150 150 MG / 5 ML
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EMEND Pricing & Reimbursement

J1453 Private Payer Reimbursement
$0.34 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Fosaprepitant 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J1434 Amneal Biosciences Fosaprepitant Injection, fosaprepitant (focinvez), 1 mg
J1453 Generic Code (Multiple Manufacturers) Fosaprepitant Injection, fosaprepitant, 1 mg
J1456 Actavis Pharma Fosaprepitant Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg

EMEND 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
96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug.
Not on the CMS JW / JZ list

CMS does not include Emend (J1453) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1453. Wastage billing guide →

EMEND Medically Unlikely Edits (MUE)

The most billing units of J1453 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
150 units / day
= 150 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.

EMEND 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.

Nausea and vomiting associated with highly emetogenic cancer chemotherapy (HEC) Nausea and vomiting associated with highly emetogenic cancer chemotherapy (HEC), including high-dose cisplatin Nausea and vomiting associated with highly or moderately emetogenic cancer chemotherapy Nausea and vomiting associated with highly or moderately emetogenic cancer chemotherapy (HEC or MEC) Nausea and vomiting associated with highly or moderately emetogenic cancer chemotherapy (single or multi-day regimens) Nausea and vomiting associated with highly or moderately emetogenic cancer chemotherapy (single-day regimens) Nausea and vomiting associated with moderately emetogenic cancer chemotherapy (MEC) nausea and vomiting associated with highly emetogenic cancer chemotherapy (HEC) nausea and vomiting associated with highly emetogenic cancer chemotherapy (HEC) or moderately emetogenic cancer chemotherapy (MEC) nausea and vomiting associated with moderately emetogenic cancer chemotherapy (MEC)
Drug Class
Cytochrome P450 2C9 Inducers [MoA]Cytochrome P450 3A4 Inducers [MoA]Cytochrome P450 3A4 Inhibitors [MoA]Neurokinin 1 Antagonists [MoA]Substance P/Neurokinin-1 Receptor Antagonist [EPC]

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Frequently Asked Questions

Is there an available Emend billing and coding guide?
We have not yet identified a manufacturer source of Emend billing and coding information.
Are there any available Emend patient assistance programs?
Our team did not identify a source for Emend patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Emend prescribing information?
EMEND 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 Emend side effect information?
Our team has not yet identified a source of side effects information for EMEND. Please check back in a few weeks.
Does billing EMEND require JZ/JW wastage modifiers?
CMS does not include EMEND (J1453) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1453. For more information, visit the link below.

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