Home › Drug Codes › J Codes › J2679 · FLUPHENAZINE HCL
Updated October 1st, 2026

FLUPHENAZINE HCL J Code: J2679

Injection, fluphenazine hcl, 1.25 mg

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Medicare Payment Limit ?
$7.269
/ HCPCS billing unit
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, fluphenazine hcl, 1.25 mg
HCPCS Added Date January 1, 2024
Manufacturer Fresenius Kabi
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Form Injection, Solution

About FLUPHENAZINE HCL

Fluphenazine HCL is a medication aligned to the HCPCS J Code: J2679 for billing, pricing, and reimbursement purposes in the United States. This Psychiatric medication is administered via the intramuscular route and manufactured by Fresenius Kabi.

According to CMS Drug Use Information: Drug uses not available

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
63323-0281-10 Fluphenazine Hydrochloride Fresenius Kabi USA, LLC 20 25 MG / 10 ML
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FLUPHENAZINE HCL Pricing & Reimbursement

J2679 Private Payer Reimbursement
$7.31 / 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 Q4 2026

FLUPHENAZINE HCL 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
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

FLUPHENAZINE HCL Medically Unlikely Edits (MUE)

The most billing units of J2679 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1.25 mg.

Practitioner Office & Hospital Outpatient
8 units / day
= 10 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.

FLUPHENAZINE HCL 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.

Psychotic disorders
Drug Class
Phenothiazine [EPC]Phenothiazines [CS]

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Frequently Asked Questions

Is there an available Fluphenazine Hcl billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for FLUPHENAZINE HCL.
Are there any available Fluphenazine Hcl patient assistance programs?
FLUPHENAZINE HCL patient assistance information can be found through FRESENIUS KABI. Visit Here →
Where can I find Fluphenazine Hcl prescribing information?
FLUPHENAZINE HCL prescribing information can be found at the link below: Visit Here →
Where can I find Fluphenazine Hcl side effect information?
Information regarding FLUPHENAZINE HCL's side effects can be found at MedlinePlus Visit Here →
Does billing FLUPHENAZINE HCL require JZ/JW wastage modifiers?
CMS does not include FLUPHENAZINE HCL (J2679) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2679. For more information, visit the link below.

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