Home › Drug Codes › S Codes › S0109 · METHADONE HCL
Updated October 1st, 2026

METHADONE HCL S Code: S0109

Methadone, oral, 5 mg

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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 Methadone, oral, 5 mg
HCPCS Added Date October 1, 2004
Manufacturer Ascend Laboratories
Route of Administration Oral
Generic Status Single-Source; Branded
Dosage Form Tablet

About METHADONE HCL

Methadone HCL is a medication aligned to the HCPCS S Code: S0109 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Addiction drug administered via the oral route and manufactured by Ascend Laboratories.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to S0109. Package detail is available to logged-in subscribers.

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METHADONE HCL Pricing & Reimbursement

S0109 Private Payer Reimbursement
$0.22 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna
Not on the CMS JW / JZ list

CMS does not include Methadone HCL (S0109) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0109. Wastage billing guide →

METHADONE HCL 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.

Opioid addiction – detoxification Opioid addiction – maintenance treatment Severe and persistent pain
Drug Class
Full Opioid Agonists [MoA]Opioid Agonist [EPC]

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Frequently Asked Questions

Is there an available Methadone Hcl billing and coding guide?
We have not yet identified a manufacturer source of Methadone Hcl billing and coding information.
Are there any available Methadone Hcl patient assistance programs?
Our team did not identify a source for Methadone Hcl patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Methadone Hcl prescribing information?
METHADONE HCL prescribing information can be found at the link below: Visit Here →
Where can I find Methadone Hcl side effect information?
Information regarding METHADONE HCL's side effects can be found at MedlinePlus Visit Here →
Does billing METHADONE HCL require JZ/JW wastage modifiers?
CMS does not include METHADONE HCL (S0109) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0109. For more information, visit the link below.

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