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Updated July 1st, 2026

Pantoprazole sodium - NaCl (Baxter) J Code: J2472

Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg
HCPCS Added Date January 1, 2025
Manufacturer Baxter Healthcare
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About Pantoprazole sodium - NaCl (Baxter)

Pantoprazole Sodium - NaCl (baxter) is a medication aligned to the HCPCS J Code: J2472 for billing, pricing, and reimbursement purposes in the United States. This Gastroenterology medication is administered via the intravenous route and manufactured by Baxter Healthcare.

Manufacturers, reach out to us to add more information.

NDC Code Information

6 NDC packages are crosswalked to J2472. Package detail is available to logged-in subscribers.

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Pantoprazole sodium - NaCl (Baxter) Pricing & Reimbursement

J2472 Private Payer Reimbursement
$8.66 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Pantoprazole Sodium 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J2470 Generic Code (Multiple Manufacturers) Pantoprazole Sodium Injection, pantoprazole sodium, 40 mg
J2471 Generic Code (Multiple Manufacturers) Pantoprazole Sodium Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
J2472 Baxter Healthcare Pantoprazole Sodium Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg

Pantoprazole sodium - NaCl (Baxter) 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
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)
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 →

Pantoprazole sodium - NaCl (Baxter) Medically Unlikely Edits (MUE)

The most billing units of J2472 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 40 mg.

Practitioner Office & Hospital Outpatient
6 units / day
= 240 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

Pantoprazole sodium - NaCl (Baxter) 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.

Gastroesophageal Reflux Disease Associated with a History of Erosive Esophagitis Pathological Hypersecretion Including Zollinger-Ellison Syndrome
Drug Class
Proton Pump Inhibitor [EPC]Proton Pump Inhibitors [MoA]

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Frequently Asked Questions

Is there an available Pantoprazole sodium - NaCl (Baxter) billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Pantoprazole sodium - NaCl (Baxter)
What are the available Pantoprazole sodium - NaCl (Baxter) patient assistance programs?
Our team has not identified a source of patient assistance information for Pantoprazole sodium - NaCl (Baxter)
Where can I find Pantoprazole sodium - NaCl (Baxter) prescribing information?
Pantoprazole sodium - NaCl (Baxter) prescribing information can be found at the link below. Visit Here →
Where can I find Pantoprazole sodium - NaCl (Baxter) side effect information?
Pantoprazole sodium - NaCl (Baxter) side effect information can be found through MedlinePlus at the link below.
Does billing Pantoprazole sodium - NaCl (Baxter) require JZ/JW wastage modifiers?
CMS does not include Pantoprazole sodium - NaCl (Baxter) (J2472) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2472. For more information, visit the link below.

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