POSACONAZOLE J Code: J1837

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 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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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 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

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 Medically Unlikely Edits (MUE)

The most billing units of J1837 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

600 units / day

= 600 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 →

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]

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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