FIASP PENFILL J Code: J1812

Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J1812 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Insulin (fiasp), per 5 units

HCPCS Added Date July 1, 2023

Manufacturer Novo Nordisk

Route of Administration Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Multi-Dose

Dosage Form Injection, Solution

About FIASP PENFILL

Fiasp Penfill is a medication aligned to the HCPCS J Code: J1812 for billing, pricing, and reimbursement purposes in the United States. This Insulin medication is administered via the subcutaneous route and manufactured by Novo Nordisk.

Manufacturers, reach out to us to add more information.

NDC Code Information

3 NDC packages are crosswalked to J1812. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	FIASP PENFILL
	FIASP PENFILL
	FIASP PENFILL

Login to view 3 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

FIASP PENFILL Pricing & Reimbursement

J1812 Private Payer Reimbursement

$1.36 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Insulin 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J1811	Novo Nordisk	Insulin	Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units
J1812	Novo Nordisk	Insulin	Insulin (fiasp), per 5 units
J1813	Generic Code (Multiple Manufacturers)	Insulin	Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
J1814	Eli Lilly	Insulin	Insulin (lyumjev), per 5 units

FIASP PENFILL CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Fiasp Penfill (J1812) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1812. Wastage billing guide →

FIASP PENFILL 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.

diabetes mellitus

Drug Class

Insulin Analog [EPC]Insulin [CS]

Frequently Asked Questions

Is there an available Fiasp Penfill billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for FIASP PENFILL.

Are there any available Fiasp Penfill patient assistance programs?

FIASP PENFILL patient assistance information can be found through NOVO NORDISK. Visit Here →

Where can I find Fiasp Penfill prescribing information?

FIASP PENFILL prescribing information can be found at the link below: Visit Here →

Where can I find Fiasp Penfill side effect information?

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

Does billing FIASP PENFILL require JZ/JW wastage modifiers?

CMS does not include FIASP PENFILL (J1812) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1812. For more information, visit the link below.

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.