Omvoh J Code: J2267

Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J2267 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, mirikizumab-mrkz, 1 mg

HCPCS Added Date July 1, 2024

Manufacturer Eli Lilly

Route of Administration Intravenous, Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Solution | Kit

About Omvoh

Omvoh is a medication aligned to the HCPCS J Code: J2267 for billing, pricing, and reimbursement purposes in the United States. Classified under Anti-Fungal, it is administered via the intravenous or subcutaneous routes and manufactured by Eli Lilly.

According to CMS Drug Use Information: This medication is used to treat certain bowel diseases (ulcerative colitis, Crohn's disease). Mirikizumab belongs to a class of drugs known as monoclonal antibodies. It works by blocking a certain natural protein in your body (interleukin-23) that may cause inflammation and swelling.

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 11 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00002-1442-11	Omvoh	Eli Lilly and Company	200	200 MG / 2 ML
00002-3116-11	Omvoh	Eli Lilly and Company	200	200 MG / 2 ML
00002-7575-01	Omvoh	Eli Lilly and Company	300	300 MG / 15 ML
00002-7717-11	Omvoh	Eli Lilly and Company	300	Kit
00002-8011-27	Omvoh	Eli Lilly and Company	200	100 MG / 1 ML
•••••-••••-•• Log in to view	Omvoh
	Omvoh
	Omvoh

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Omvoh Pricing & Reimbursement

J2267 Private Payer Reimbursement

$42.54 / 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

Omvoh CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
96372 Login for More	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular Login for More

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 →

Omvoh Medically Unlikely Edits (MUE)

The most billing units of J2267 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

900 units / day

= 900 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 →

Omvoh 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.

Crohn's Disease Ulcerative Colitis

Drug Class

Interleukin-23 Antagonist [EPC]Interleukin-23 Antagonists [MoA]

Frequently Asked Questions

Is there an available Omvoh billing and coding guide?

Billing and coding information for Omvoh can be found through Eli Lilly And Company. Visit Here →

Are there any available Omvoh patient assistance programs?

Omvoh patient assistance information can be found through Eli Lilly And Company. Visit Here →

Where can I find Omvoh prescribing information?

Omvoh prescribing information can be found at the link below: Visit Here →

Where can I find Omvoh side effect information?

Information regarding Omvoh's side effect information can be found at Medline Plus.

Does billing Omvoh require JZ/JW wastage modifiers?

CMS does not include Omvoh (J2267) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2267. For more information, visit the link below.

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