MYCOPHENOLATE MOFETIL ORAL J Code: J7528

Drug & Product Overview

HCPCS Descriptor Mycophenolate mofetil, for suspension, oral, 100 mg

HCPCS Added Date January 1, 2026

Manufacturer Multiple Manufacturers

Route of Administration Oral

Generic Status HCPCS Discontinued

Dosage Form Powder, For Suspension

About MYCOPHENOLATE MOFETIL ORAL

Mycophenolate Mofetil ORAL is a medication aligned to the HCPCS J Code: J7528 for billing, pricing, and reimbursement purposes in the United States. It is an Immunosuppressant drug administered via the oral route and manufactured by multiple companies.

According to CMS Drug Use Information: Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart). It belongs to a class of medications called immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own.

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

8 NDC packages are crosswalked to J7528. Package detail is available to logged-in subscribers.

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

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MYCOPHENOLATE MOFETIL ORAL Pricing & Reimbursement

J7528 Private Payer Reimbursement

$0.61 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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MYCOPHENOLATE MOFETIL ORAL Medically Unlikely Edits (MUE)

The most billing units of J7528 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 100 mg.

Practitioner Office & Hospital Outpatient

30 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 →

Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

MYCOPHENOLATE MOFETIL ORAL 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.

Heart Transplant Heart transplant rejection prophylaxis Kidney Transplant Kidney transplant rejection prophylaxis Liver Transplant Liver transplant rejection prophylaxis Prophylaxis of organ rejection in heart transplant Prophylaxis of organ rejection in kidney transplant Prophylaxis of organ rejection in liver transplant heart transplant rejection prophylaxis kidney transplant rejection prophylaxis liver transplant rejection prophylaxis prophylaxis of organ rejection in heart transplant prophylaxis of organ rejection in kidney transplant prophylaxis of organ rejection in liver transplant

Drug Class

Antimetabolite Immunosuppressant [EPC]

Frequently Asked Questions

Is there a manufacturer-published MYCOPHENOLATE MOFETIL ORAL billing and coding guide?

We have not identified a manufacturer-published source of billing and coding information for MYCOPHENOLATE MOFETIL ORAL. Please reach out to our team if you believe that this is a mistake.

Is there an available MYCOPHENOLATE MOFETIL ORAL patient assistance program?

Our team did not identify a source of patient assistance information for MYCOPHENOLATE MOFETIL ORAL. Please reach out if you believe that this is a mistake.

Where can I find MYCOPHENOLATE MOFETIL ORAL prescribing information?

We have not identified a source of prescribing information for MYCOPHENOLATE MOFETIL ORAL.

Where can I find MYCOPHENOLATE MOFETIL ORAL side effect information?

Our team has not identified a source of side effect information for MYCOPHENOLATE MOFETIL ORAL.

Does billing MYCOPHENOLATE MOFETIL ORAL require JZ/JW wastage modifiers?

CMS does not include MYCOPHENOLATE MOFETIL ORAL (J7528) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7528. For more information, visit the link below.

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