FLUPHENAZINE DECANOATE J Code: J2680
Injection, fluphenazine decanoate, up to 25 mg
Drug & Product Overview
About FLUPHENAZINE DECANOATE
Fluphenazine Decanoate is a medication aligned to the HCPCS J Code: J2680 for billing, pricing, and reimbursement purposes in the United States. It is a Psychiatric drug administered via the intramuscular or subcutaneous routes and manufactured by multiple companies.
According to CMS Drug Use Information: This medication is used to treat certain mental/mood disorders (such as schizophrenia). Fluphenazine decanoate is a long-acting form of fluphenazine. It may be used by people who have trouble remembering to take medication every day. Fluphenazine belongs to a class of drugs known as antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. This medication is not recommended for use in children under 12 years of age.
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 8 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9529-01 | Fluphenazine Decanoate | Hikma Pharmaceuticals USA Inc. | 5 | 125 MG / 5 ML |
| 25021-0838-05 | Fluphenazine Decanoate | Sagent Pharmaceuticals | 5 | 125 MG / 5 ML |
| 42023-0129-01 | Fluphenazine Decanoate | Par Health USA, LLC | 5 | 125 MG / 5 ML |
| 55150-0267-05 | Fluphenazine Decanoate | Eugia Us Llc | 5 | 125 MG / 5 ML |
| 63323-0272-05 | Fluphenazine Decanoate | Fresenius Kabi USA, LLC | 5 | 125 MG / 5 ML |
| •••••-••••-•• Log in to view | FLUPHENAZINE DECANOATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | FLUPHENAZINE DECANOATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | FLUPHENAZINE DECANOATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
FLUPHENAZINE DECANOATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →
Historical Graphing and Billing Calculator
Log in to calculate billing and reimbursement with live ASP, WAC & AWP pricing.
Login to use the calculator →FLUPHENAZINE DECANOATE 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 |
|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular |
CMS does not include Fluphenazine Decanoate (J2680) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2680. Wastage billing guide →
FLUPHENAZINE DECANOATE Medically Unlikely Edits (MUE)
The most billing units of J2680 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 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 →
FLUPHENAZINE DECANOATE 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 ProComparative Report
Compare FLUPHENAZINE DECANOATE with alternatives
- FLUPHENAZINE DECANOATE J2680
- PROCHLORPERAZINE EDISYLATE J0780
- FLUPHENAZINE HCL J2679
- CHLORPROMAZINE HCL J3230
- PROCHLORPERAZINE MALEATE Q0164
ASP, the Medicare payment limit, WAC and AWP for all 5 drugs on one timeline, with 10+ years of monthly history.
Card required · cancel anytime
Frequently Asked Questions
Is there an available Fluphenazine Decanoate billing and coding guide?
Are there any available Fluphenazine Decanoate patient assistance programs?
Where can I find Fluphenazine Decanoate prescribing information?
Where can I find Fluphenazine Decanoate side effect information?
Does billing FLUPHENAZINE DECANOATE 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 FLUPHENAZINE DECANOATE.