Home Drug Codes J Codes J2865 · SULFAMETHOXAZOLE-TRIMETHOPRIM
Updated July 1st, 2026

SULFAMETHOXAZOLE-TRIMETHOPRIM J Code: J2865

Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg

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Q4 2026 Medicare Payment Limit for J2865, effective October 1, 2026: $0.034 per HCPCS billing unit, down 5.6% from $0.036. From CMS's final file.

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Medicare Payment Limit ?
$0.036
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
14
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Drug & Product Overview

HCPCS Descriptor Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg
HCPCS Added Date April 1, 2025
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose, Multi-Dose
Dosage Form Injection, Solution, Concentrate | Not Available

About SULFAMETHOXAZOLE-TRIMETHOPRIM

Sulfamethoxazole-trimethoprim is a medication aligned to the HCPCS J Code: J2865 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intravenous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 14 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00703-9503-03 Sulfamethoxazole and Trimethoprim Teva Parenteral Medicines, Inc. 800 400 MG / 5 ML
00703-9514-03 Sulfamethoxazole and Trimethoprim Teva Parenteral Medicines, Inc. 1600 800 MG / 10 ML
00703-9526-01 Sulfamethoxazole and Trimethoprim Teva Parenteral Medicines, Inc. 480 2400 MG / 30 ML
67457-0921-05 Sulfamethoxazole-Trimethoprim Mylan Institutional LLC 800 80 MG / 5 ML
70069-0361-10 Sulfamethoxazole and Trimethoprim Somerset Therapeutics, LLC 800 400 MG / 5 ML
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SULFAMETHOXAZOLE-TRIMETHOPRIM
SULFAMETHOXAZOLE-TRIMETHOPRIM
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SULFAMETHOXAZOLE-TRIMETHOPRIM Pricing & Reimbursement

J2865 Private Payer Reimbursement
$0.04 / 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

Sulfamethoxazole And Trimethoprim 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J2865 Generic Code (Multiple Manufacturers) Sulfamethoxazole And Trimethoprim Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg

SULFAMETHOXAZOLE-TRIMETHOPRIM 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 →

SULFAMETHOXAZOLE-TRIMETHOPRIM Medically Unlikely Edits (MUE)

The most billing units of J2865 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5mg-1mg.

Practitioner Office & Hospital Outpatient
3,000 units / day
= 15,000 mg-1mg 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-1mg Enter a dose to see how many billing units it is and whether it is under the limit.

SULFAMETHOXAZOLE-TRIMETHOPRIM 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.

Urinary tract infections Acute otitis media Acute exacerbations of chronic bronchitis Traveler’s diarrhea Shigellosis Pneumocystis jirovecii pneumonia (treatment and prophylaxis)
Drug Class
Cytochrome P450 2C8 Inhibitors [MoA]Cytochrome P450 2C9 Inhibitors [MoA]Dihydrofolate Reductase Inhibitor Antibacterial [EPC]Dihydrofolate Reductase Inhibitors [MoA]Organic Cation Transporter 2 Inhibitors [MoA]Sulfonamide Antimicrobial [EPC]Sulfonamides [CS]

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Frequently Asked Questions

Is there a manufacturer-published SULFAMETHOXAZOLE-TRIMETHOPRIM billing and coding guide?
Our team has not identified a manufacturer-published billing and coding guide for SULFAMETHOXAZOLE-TRIMETHOPRIM.
What are the available SULFAMETHOXAZOLE-TRIMETHOPRIM patient assistance programs?
Our team has not identified a source of patient assitsance information for SULFAMETHOXAZOLE-TRIMETHOPRIM.
Where can I find SULFAMETHOXAZOLE-TRIMETHOPRIM prescribing information?
Our team has not identified a source of prescribing information for SULFAMETHOXAZOLE-TRIMETHOPRIM.
Where can I find SULFAMETHOXAZOLE-TRIMETHOPRIM side effect information?
Our team has not identified a source of side effect information for SULFAMETHOXAZOLE-TRIMETHOPRIM.
Does billing SULFAMETHOXAZOLE-TRIMETHOPRIM require JZ/JW wastage modifiers?
CMS does not include SULFAMETHOXAZOLE-TRIMETHOPRIM (J2865) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2865. For more information, visit the link below.

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