SUMATRIPTAN SUCCINATE J Code: J3030

Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J3030 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

HCPCS Added Date January 1, 1986

Manufacturer Multiple Manufacturers

Route of Administration Subcutaneous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Solution | Not Available | Solution

About SUMATRIPTAN SUCCINATE

Sumatriptan Succinate is a medication aligned to the HCPCS J Code: J3030 for billing, pricing, and reimbursement purposes in the United States. This Neurology medication is administered via the subcutaneous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

19 NDC packages are crosswalked to J3030. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	SUMATRIPTAN SUCCINATE
	SUMATRIPTAN SUCCINATE
	SUMATRIPTAN SUCCINATE
	SUMATRIPTAN SUCCINATE

Login to view 19 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

SUMATRIPTAN SUCCINATE Pricing & Reimbursement

J3030 Private Payer Reimbursement

$34.97 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Sumatriptan Succinate 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J3030	Generic Code (Multiple Manufacturers)	Sumatriptan Succinate	Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

SUMATRIPTAN SUCCINATE CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Sumatriptan Succinate (J3030) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3030. Wastage billing guide →

SUMATRIPTAN SUCCINATE Medically Unlikely Edits (MUE)

The most billing units of J3030 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 6 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

1 unit / day

= 6 mg per day

Hospital Outpatient

2 units / day

= 12 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 →

SUMATRIPTAN SUCCINATE 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.

Cluster Headache Cluster headache Migraine Migraine with or without aura Migraine, with or without aura

Drug Class

Serotonin 1b Receptor Agonists [MoA]Serotonin 1d Receptor Agonists [MoA]Serotonin-1b and Serotonin-1d Receptor Agonist [EPC]

Frequently Asked Questions

Is there an available Sumatriptan Succinate billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for SUMATRIPTAN SUCCINATE.

Are there any available Sumatriptan Succinate patient assistance programs?

SUMATRIPTAN SUCCINATE patient assistance information can be found through Multiple Manufacturers. Visit Here →

Where can I find Sumatriptan Succinate prescribing information?

SUMATRIPTAN SUCCINATE prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Sumatriptan Succinate side effect information?

Our team has not yet identified a source of side effects information for SUMATRIPTAN SUCCINATE. Please check back in a few weeks.

Does billing SUMATRIPTAN SUCCINATE require JZ/JW wastage modifiers?

CMS does not include SUMATRIPTAN SUCCINATE (J3030) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3030. For more information, visit the link below.

About BuyandBill.com:

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