Home Drug Codes J Codes J7676 · PENTAMIDINE ISETHIONATE
Updated July 1st, 2026

PENTAMIDINE ISETHIONATE J Code: J7676

Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 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 ?
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Drug & Product Overview

HCPCS Descriptor Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg
HCPCS Added Date January 1, 2008
Route of Administration Inhalation
Generic Status Single-Source; Branded

About PENTAMIDINE ISETHIONATE

Pentamidine Isethionate is a medication aligned to the HCPCS J Code: J7676 for billing, pricing, and reimbursement purposes in the United States. Classified under Anti-Fungal, it is administered via the inhalation route.

Manufacturers, reach out to us to add more information.

NDC Code Information

No NDC packages are aligned to J7676 in publicly available CMS files.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
No public NDC alignments
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PENTAMIDINE ISETHIONATE Pricing & Reimbursement

J7676 Private Payer Reimbursement
$110.53 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

PENTAMIDINE ISETHIONATE Medically Unlikely Edits (MUE)

The most billing units of J7676 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 300 mg.

Practitioner Office & Hospital Outpatient
0 units / day
Not payable in this setting

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.
Not on the CMS JW / JZ list

CMS does not include Pentamidine Isethionate (J7676) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7676. Wastage billing guide →

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Frequently Asked Questions

Is there an available Pentamidine isethionate billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Pentamidine isethionate. Please reach out to us if this is a mistake.
Are there any available Pentamidine isethionate patient assistance programs?
Our team has not identified a source of patient assistance information for Pentamidine isethionate. Please reach out to us if this is a mistake.
Where can I find Pentamidine isethionate prescribing information?
No available source of prescribing information for Pentamidine isethionate
Where can I find Pentamidine isethionate side effect information?
A link for Pentamidine isethionate side effect information is not available.
Does billing Pentamidine isethionate require JZ/JW wastage modifiers?
CMS does not include PENTAMIDINE ISETHIONATE (J7676) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7676. For more information, visit the link below.

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