FOLOTYN J Code: J9307

Drug & Product Overview

HCPCS Descriptor Injection, pralatrexate, 1 mg

HCPCS Added Date January 1, 2011

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Not Available

About FOLOTYN

Folotyn is a medication aligned to the HCPCS J Code: J9307 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Pralatrexate is used to treat a certain type of cancer (peripheral T-Cell lymphoma-PTCL). Pralatrexate works by slowing or stopping the growth of cancer cells.

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
43598-0342-11	Pralatrexate	Dr.Reddy's Laboratories Inc.,	20	20 MG / 1 ML
43598-0343-23	Pralatrexate	Dr.Reddy's Laboratories Inc.,	40	40 MG / 2 ML
65219-0550-01	Pralatrexate	Fresenius Kabi USA, LLC	20	20 MG / 1 ML
65219-0552-02	Pralatrexate	Fresenius Kabi USA, LLC	40	40 MG / 2 ML
72893-0003-01	Folotyn	Acrotech Biopharma Inc	20	20 MG / 1 ML
•••••-••••-•• Log in to view	FOLOTYN
	FOLOTYN
	FOLOTYN

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FOLOTYN Pricing & Reimbursement

J9307 Private Payer Reimbursement

$407.34 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

FOLOTYN Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 8.87%

Avg. Days to File 5.6days

Avg. Days to Pay 24.8days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J9307 claims analytics on FocalPoint →

FOLOTYN CPT Administration Codes

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)

JW / JZ modifiers apply

CMS has identified Folotyn (J9307) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

FOLOTYN Medically Unlikely Edits (MUE)

The most billing units of J9307 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

80 units / day

= 80 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 →

FOLOTYN 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.

Relapsed or refractory peripheral T-cell lymphoma (PTCL) relapsed or refractory peripheral T-cell lymphoma (PTCL)

Drug Class

Folate Analog Metabolic Inhibitor [EPC]

Frequently Asked Questions

Is there an available Folotyn billing and coding guide?

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

Are there any available Folotyn patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for FOLOTYN.

Where can I find Folotyn prescribing information?

FOLOTYN prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Folotyn side effect information?

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

Does billing FOLOTYN require JZ/JW wastage modifiers?

CMS has identified FOLOTYN(J9307) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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