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Updated July 1st, 2026

HALDOL DECANOATE 100 J Code: J1631

Injection, haloperidol decanoate, per 50 mg

Medicare Payment Limit ?

$5.291

/ HCPCS billing unit · Q3 2026

APC Payment Limit ?

Not published

CMS publishes none for Q3 2026

ASP ?

$•••.••

WAC · AWP ?

$•••.••

NDCs Crosswalked ?

View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, haloperidol decanoate, per 50 mg

HCPCS Added Date January 1, 1989

Manufacturer Multiple Manufacturers

Route of Administration Intramuscular

Generic Status Multi-Source; Generic

Dosage Type Single-Dose, Multi-Dose

Dosage Form Injection | Injection, Solution | Not Available

About HALDOL DECANOATE 100

Haldol Decanoate 100 is a medication aligned to the HCPCS J Code: J1631 for billing, pricing, and reimbursement purposes in the United States. Classified under Psychiatric, it is administered via the intramuscular route and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to treat a certain mental/mood disorder (schizophrenia). Haloperidol decanoate is a long-acting form of haloperidol. It may be used by people who have trouble remembering to take medication every day. Haloperidol belongs to a class of drugs known as antipsychotics. It works by helping to restore the balance of certain natural substances in the brain.

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 64 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00143-9295-01	Haloperidol Decanoate	Hikma Pharmaceuticals USA Inc.	2	100 MG / 1 ML
10147-0921-03	Haloperidol Decanoate	Patriot Pharmaceuticals Llc	3	50 MG / 1 ML
25021-0831-01	haloperidol decanoate	Sagent Pharmaceuticals	10	50 MG / 1 ML
50458-0253-03	Haldol Decanoate	Janssen Pharmaceuticals, Inc.	3	50 MG / 1 ML
63323-0469-01	Haloperidol Decanoate	Fresenius Kabi USA, LLC	1	50 MG / 1 ML
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HALDOL DECANOATE 100 Pricing & Reimbursement

J1631 Private Payer Reimbursement

$3.91 / 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

HALDOL DECANOATE 100 CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Haldol Decanoate 100 (J1631) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1631. Wastage billing guide →

HALDOL DECANOATE 100 Medically Unlikely Edits (MUE)

The most billing units of J1631 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 mg.

Practitioner Office & Hospital Outpatient

9 units / day

= 450 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 →

HALDOL DECANOATE 100 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.

Schizophrenia

Drug Class

Typical Antipsychotic [EPC]

Frequently Asked Questions

Is there an available Haldol Decanoate 100 billing and coding guide?

We have not yet identified a manufacturer source of Haldol Decanoate 100 billing and coding information.

Are there any available Haldol Decanoate 100 patient assistance programs?

Our team did not identify a source for Haldol Decanoate 100 patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Haldol Decanoate 100 prescribing information?

Our team is still working to identify a prescribing information source for HALDOL DECANOATE 100

Where can I find Haldol Decanoate 100 side effect information?

Our team has not yet identified a source of side effects information for HALDOL DECANOATE 100. Please check back in a few weeks.

Does billing HALDOL DECANOATE 100 require JZ/JW wastage modifiers?

CMS does not include HALDOL DECANOATE 100 (J1631) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1631. For more information, visit the link below.

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HALDOL DECANOATE 100 Pricing

Q3 2026

J1631

Medicare Payment Limit per HCPCS unit

$5.291

Medicare Co-Insurance20% · per HCPCS unit $1.06

APC Payment Limit per HCPCS unit

Not published

ASP · WAC · AWP per HCPCS unit and NDC package

NDC Crosswalk

64 NDCs

00143-9295-01 · 10147-0921-03 · 25021-0831-01 · 50458-0253-03 · 63323-0469-01 · 65145-0167-10 · +58 more View full NDC crosswalk →

For manufacturers

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