SUSTOL J Code: J1627

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

SUSTOL Pricing & Reimbursement

J1627 Private Payer Reimbursement

$4.28 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Granisetron 505(b)(2) Information:

SUSTOL Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 9.42%

Avg. Days to File 7.4days

Avg. Days to Pay 22.3days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

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SUSTOL 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.

SUSTOL Medically Unlikely Edits (MUE)

The most billing units of J1627 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.

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 →

SUSTOL Clinical Information

Indications and drug classification.

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