Home Drug Codes J Codes J9395 · FASLODEX
Updated July 1st, 2026

FASLODEX J Code: J9395

Injection, fulvestrant, 25 mg

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Q4 2026 Medicare Payment Limit for J9395, effective October 1, 2026: $5.021 per HCPCS billing unit, down 4.9% from $5.277. From CMS's final file.

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Medicare Payment Limit ?
$5.277
/ 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 ?
29
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Drug & Product Overview

HCPCS Descriptor Injection, fulvestrant, 25 mg
HCPCS Added Date January 1, 2004
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution | Not Available

About FASLODEX

Faslodex is a medication aligned to the HCPCS J Code: J9395 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intramuscular or intravenous routes and manufactured by multiple companies.

According to CMS Drug Use Information: Fulvestrant is used to treat certain types of breast cancer. Breast cancer cells need the hormone estrogen in order to grow. Fulvestrant works by blocking the effect of estrogen, slowing tumor cell growth.

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 29 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00143-9022-02 Fulvestrant Hikma Pharmaceuticals USA Inc. 20 250 MG / 5 ML
00310-0720-10 Faslodex AstraZeneca Pharmaceuticals LP 20 250 MG / 5 ML
00781-3532-12 Fulvestrant Sandoz Inc 20 250 MG / 5 ML
16714-0070-02 Fulvestrant Northstar Rx, LLC, 20 250 MG / 5 ML
16729-0436-30 Fulvestrant Accord Healthcare Inc. 20 250 MG / 5 ML
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FASLODEX Pricing & Reimbursement

J9395 Private Payer Reimbursement
$6.02 / 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

Fulvestrant 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J9393 Avyxa Pharma Fulvestrant Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg
J9394 Fresenius Kabi Fulvestrant Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg
J9395 Generic Code (Multiple Manufacturers) Fulvestrant Injection, fulvestrant, 25 mg

FASLODEX 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
96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Login for More Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) Login for More
JW / JZ modifiers apply

CMS has identified Faslodex (J9395) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

FASLODEX Medically Unlikely Edits (MUE)

The most billing units of J9395 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 25 mg.

Practitioner Office & Hospital Outpatient
20 units / day
= 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.

FASLODEX 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.

HR-positive advanced breast cancer HR-positive, HER2-negative advanced breast cancer HR-positive, HER2-negative advanced or metastatic breast cancer
Drug Class
Estrogen Receptor Antagonist [EPC]Estrogen Receptor Antagonists [MoA]Selective Estrogen Receptor Modulators [MoA]

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Frequently Asked Questions

Is there an available Faslodex billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for FASLODEX.
Are there any available Faslodex patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for FASLODEX.
Where can I find Faslodex prescribing information?
FASLODEX 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 Faslodex side effect information?
Our team has not yet identified a source of side effects information for FASLODEX. Please check back in a few weeks.
Does billing FASLODEX require JZ/JW wastage modifiers?
CMS has identified FASLODEX(J9395) 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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