FOMEPIZOLE J Code: J1451

Drug & Product Overview

HCPCS Descriptor Injection, fomepizole, 15 mg

HCPCS Added Date January 1, 2006

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Solution

About FOMEPIZOLE

Fomepizole is a medication aligned to the HCPCS J Code: J1451 for billing, pricing, and reimbursement purposes in the United States. Classified under Misc., it is administered via the intravenous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

4 NDC packages are crosswalked to J1451. Package detail is available to logged-in subscribers.

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

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FOMEPIZOLE Pricing & Reimbursement

J1451 Private Payer Reimbursement

$12.48 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

FOMEPIZOLE CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

JW / JZ modifiers apply

CMS has identified Fomepizole (J1451) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

FOMEPIZOLE Medically Unlikely Edits (MUE)

The most billing units of J1451 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 15 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

1 unit / day

= 15 mg per day

Hospital Outpatient

200 units / day

= 3,000 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 →

FOMEPIZOLE 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.

Ethylene glycol or methanol poisoning ethylene glycol or methanol poisoning

Drug Class

Antidote [EPC]

Frequently Asked Questions

Is there an available Fomepizole billing and coding guide?

We have not yet identified a manufacturer source of Fomepizole billing and coding information.

Are there any available Fomepizole patient assistance programs?

Our team did not identify a source for Fomepizole patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Fomepizole prescribing information?

Our team is still working to identify a prescribing information source for FOMEPIZOLE

Where can I find Fomepizole side effect information?

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

Does billing FOMEPIZOLE require JZ/JW wastage modifiers?

CMS has identified FOMEPIZOLE(J1451) 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.

About BuyandBill.com:

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