Favlyxa J Code: J9191
Injection, fluorouracil (avyxa), 10 mg
Drug & Product Overview
About Favlyxa
Favlyxa is a medication aligned to the HCPCS J Code: J9191 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by Avyxa Pharma.
Manufacturers, reach out to us to add more information.
NDC Code Information
Based on publicly available CMS files. The list of NDCs below is not exhaustive.
| NDC Code | Package | Manufacturer | HCPCS Units | WAC | AWP |
|---|---|---|---|---|---|
| 83831-0143-01 | 250 MG / 10 MLFavlyxa Intravenous Injection 250 MG/10ML - 1 VIAL, SINGLE-DOSE in 1 CARTON (83831-143-01) / 10 mL in 1 VIAL, SINGLE-DOSE | Avyxa Pharma, LLC | 25 | $350.00 $14.00 / unit | $420.00 $16.80 / unit |
| 83831-0164-10 | 2500 MG / 100 MLFavlyxa Intravenous Injection 2500 MG/100ML - 1 VIAL, MULTI-DOSE in 1 CARTON (83831-164-10) / 100 mL in 1 VIAL, MULTI-DOSE | Avyxa Pharma, LLC | 250 | $3,500.00 $14.00 / unit | $4,200.00 $16.80 / unit |
Effective 4/1/26 (WAC & AWP)
Favlyxa Pricing & Reimbursement
Historical Graphing and Billing Calculator
Estimates only. Payer reimbursement varies by contract, site of care, and sequestration.
Fluorouracil 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| J9191 | Avyxa Pharma | Fluorouracil | Injection, fluorouracil (avyxa), 10 mg |
Favlyxa 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 |
|---|---|
| 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) |
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →
Favlyxa Clinical Information
Indications and drug classification.
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.
Try Pro free for 7 daysUpgrade to ProAdd Analytics and full history with Pro
Pro includes:
- ASP, WAC and AWP for every drug
- NDC package pricing
- 10+ years of price history
- Side-by-side Analytics in the Comparative Report
Card required · cancel anytime
Frequently Asked Questions
Is there an available Favlyxa billing and coding guide?
Are there any available Favlyxa patient assistance programs?
Where can I find Favlyxa prescribing information?
Where can I find Favlyxa side effect information?
Does billing Favlyxa require JZ/JW wastage modifiers?
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.
Related Drug Codes
Explore billing, coding, and pricing for drugs related to Favlyxa.