Home › Drug Codes › S Codes › S0122 · MENOPUR
Updated October 1st, 2026

MENOPUR S Code: S0122

Injection, menotropins, 75 iu

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Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
No current ASP
Not available for Q4 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, menotropins, 75 iu
HCPCS Added Date April 1, 2002
Manufacturer Ferring Pharmaceuticals
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About MENOPUR

Menopur is a medication aligned to the HCPCS S Code: S0122 for billing, pricing, and reimbursement purposes in the United States. Classified under Fertility, it is administered via the subcutaneous route and manufactured by Ferring Pharmaceuticals.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to S0122. Package detail is available to logged-in subscribers.

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MENOPUR Pricing & Reimbursement

S0122 Private Payer Reimbursement
$253.36 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

MENOPUR 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

CMS does not include Menopur (S0122) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0122. Wastage billing guide →

MENOPUR 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 and Pregnancy in Ovulatory Women as Part of an Assisted Reproductive Technology (ART) Cycle

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Frequently Asked Questions

Is there an available Menopur billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for MENOPUR.
Are there any available Menopur patient assistance programs?
MENOPUR patient assistance information can be found through Ferring Pharmaceuticals. Visit Here →
Where can I find Menopur prescribing information?
MENOPUR prescribing information can be found at the link below: Visit Here →
Where can I find Menopur side effect information?
Our team has not yet identified a source of side effects information for MENOPUR. Please check back in a few weeks.
Does billing MENOPUR require JZ/JW wastage modifiers?
CMS does not include MENOPUR (S0122) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0122. For more information, visit the link below.

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