GONAL-F RFF REDI-JECT S Code: S0126

Drug & Product Overview

HCPCS Descriptor Injection, follitropin alfa, 75 iu

HCPCS Added Date April 1, 2002

Manufacturer Multiple Manufacturers

Route of Administration Subcutaneous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose, Multi-Dose

Dosage Form Injection, Solution | Kit

About GONAL-F RFF REDI-JECT

Gonal-f RFF Redi-ject is a medication aligned to the HCPCS S Code: S0126 for billing, pricing, and reimbursement purposes in the United States. This Fertility medication is administered via the subcutaneous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

4 NDC packages are crosswalked to S0126. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	GONAL-F RFF REDI-JECT
	GONAL-F RFF REDI-JECT
	GONAL-F RFF REDI-JECT
	GONAL-F RFF REDI-JECT

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GONAL-F RFF REDI-JECT Pricing & Reimbursement

S0126 Private Payer Reimbursement

$242.34 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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GONAL-F RFF REDI-JECT CPT Administration Codes

CPT Code	Description
96401	Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic

Not on the CMS JW / JZ list

CMS does not include Gonal-f RFF Redi-ject (S0126) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0126. Wastage billing guide →

GONAL-F RFF REDI-JECT 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.

Development of Multiple Follicles in Ovulatory Women as Part of an ART Cycle Induction of Ovulation and Pregnancy in Oligo-Anovulatory Women Induction of Spermatogenesis Multiple Follicle Development (ART) Ovulation Induction

Drug Class

Gonadotropin [EPC]Gonadotropins [CS]

Frequently Asked Questions

Is there an available Gonal-F Rff Redi-Ject billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for GONAL-F RFF REDI-JECT.

Are there any available Gonal-F Rff Redi-Ject patient assistance programs?

GONAL-F RFF REDI-JECT patient assistance information can be found through EMD SERONO, INC.. Visit Here →

Where can I find Gonal-F Rff Redi-Ject prescribing information?

GONAL-F RFF REDI-JECT prescribing information can be found at the link below: Visit Here →

Where can I find Gonal-F Rff Redi-Ject side effect information?

Our team has not yet identified a source of side effects information for GONAL-F RFF REDI-JECT. Please check back in a few weeks.

Does billing GONAL-F RFF REDI-JECT require JZ/JW wastage modifiers?

CMS does not include GONAL-F RFF REDI-JECT (S0126) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0126. 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.