FENSOLVI J Code: J1951
Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg
Q4 2026 Medicare Payment Limit for J1951, effective October 1, 2026: $141.696 per HCPCS billing unit, down 2.5% from $145.311. From CMS's final file.
Drug & Product Overview
About FENSOLVI
Fensolvi is a medication aligned to the HCPCS J Code: J1951 for billing, pricing, and reimbursement purposes in the United States. It is a Growth Disorder drug administered via the subcutaneous route and manufactured by Tolmar Pharmaceuticals, Inc.
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NDC Code Information
Based on publicly available CMS files. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 62935-0153-50 | Fensolvi | TOLMAR Inc. | 180 | Kit |
| 62935-0163-60 | Fensolvi | TOLMAR Inc. | 180 | 45 MG / 0.375 ML |
FENSOLVI Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Leuprolide Acetate 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| J1950 | Abbvie | Leuprolide Acetate | Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
| J1951 | Tolmar Pharmaceuticals, Inc | Leuprolide Acetate | Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg |
| J1952 | Accord | Leuprolide Acetate | Leuprolide injectable, camcevi, 1 mg |
| J1954 | Generic Code (Multiple Manufacturers) | Leuprolide Acetate | Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg |
| J9217 | Generic Code (Multiple Manufacturers) | Leuprolide Acetate | Leuprolide acetate (for depot suspension), 7.5 mg |
FENSOLVI 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 |
CMS does not include Fensolvi (J1951) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1951. Wastage billing guide →
FENSOLVI Medically Unlikely Edits (MUE)
The most billing units of J1951 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 mg.
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 →
FENSOLVI 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.
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Frequently Asked Questions
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Are there any available Fensolvi patient assistance programs?
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Does billing FENSOLVI require JZ/JW wastage modifiers?
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