Home Drug Codes J Codes J1837 · POSACONAZOLE
Updated July 1st, 2026

POSACONAZOLE J Code: J1837

Injection, posaconazole, 1 mg

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Q4 2026 Medicare Payment Limit for J1837, effective October 1, 2026: $0.385 per HCPCS billing unit, up 12.6% from $0.342. From CMS's final file.

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Medicare Payment Limit ?
$0.342
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$0.342
/ HCPCS billing unit · APC 0905
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
7
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Drug & Product Overview

HCPCS Descriptor Injection, posaconazole, 1 mg
HCPCS Added Date January 1, 2026
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution | Solution

About POSACONAZOLE

Posaconazole is a medication aligned to the HCPCS J Code: J1837 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Fungal drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Posaconazole is used to treat and prevent certain fungal infections in patients who have severely weakened immune systems (such as patients who have had chemotherapy). It belongs to a class of drugs known as azole antifungals. It works by stopping the growth of fungi.

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 7 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
42023-0195-01 Posaconazole Par Health USA, LLC 300 300.6 MG / 16.7 ML
55150-0388-01 Posaconazole Eugia Us Llc 300 300.6 MG / 16.7 ML
63323-0685-17 Posaconazole Fresensius Kabi USA, LLC 300 300.6 MG / 16.7 ML
67457-0665-20 posaconazole Mylan Institutional LLC 300 300.6 MG / 16.7 ML
68462-0904-01 posaconazole GLENMARK PHARMACEUTICALS INC., USA 300 300.6 MG / 16.7 ML
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POSACONAZOLE
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POSACONAZOLE Pricing & Reimbursement

J1837 Private Payer Reimbursement
$0.56 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Posaconazole 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J1837 Generic Code (Multiple Manufacturers) Posaconazole Injection, posaconazole, 1 mg

POSACONAZOLE 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 →

POSACONAZOLE 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.

Invasive Aspergillosis Prophylaxis of Invasive Aspergillus and Candida Infections Prophylaxis of invasive Aspergillus and Candida infections
Drug Class
Azole Antifungal [EPC]Azoles [CS]

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Frequently Asked Questions

Is there a manufacturer-published POSACONAZOLE billing and coding guide?
We have not identified a manufacturer-published source of billing and coding information for POSACONAZOLE. Please reach out to our team if you believe that this is a mistake.
Is there an available POSACONAZOLE patient assistance program?
Our team did not identify a source of patient assistance information for POSACONAZOLE. Please reach out if you believe that this is a mistake.
Where can I find POSACONAZOLE prescribing information?
POSACONAZOLE prescribing information can be found at the link below. Visit Here →
Where can I find POSACONAZOLE side effect information?
POSACONAZOLE side effect information can be found through MedlinePlus. Visit Here →
Does billing POSACONAZOLE require JZ/JW wastage modifiers?
CMS does not include POSACONAZOLE (J1837) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1837. For more information, visit the link below.

About BuyandBill.com:

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