TALVEY J Code: J3055

Drug & Product Overview

HCPCS Descriptor Injection, talquetamab-tgvs, 0.25 mg

HCPCS Added Date April 1, 2024

Manufacturer Janssen

Route of Administration Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection

About TALVEY

Talvey is a medication aligned to the HCPCS J Code: J3055 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the subcutaneous route and manufactured by Janssen.

According to CMS Drug Use Information: This medication is used to treat a certain type of cancer (multiple myeloma). Talquetamab works by slowing or stopping the growth of cancer cells.

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. The list of NDCs below is not exhaustive.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
57894-0469-01	Talvey	Janssen Biotech, Inc.	12	3 MG / 1.5 ML
57894-0470-01	Talvey	Janssen Biotech, Inc.	160	40 MG / 1 ML

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TALVEY Pricing & Reimbursement

J3055 Private Payer Reimbursement

$76.92 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

TALVEY Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 14.16%

Avg. Days to File 5.4days

Avg. Days to Pay 47.8days

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

Explore J3055 claims analytics on FocalPoint →

TALVEY CPT Administration Codes

CPT Code	Description
96401	Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic

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 →

TALVEY Medically Unlikely Edits (MUE)

The most billing units of J3055 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 mg.

Practitioner Office & Hospital Outpatient

480 units / day

= 120 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 →

TALVEY 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.

relapsed or refractory multiple myeloma

Frequently Asked Questions

Is a Talvey billing and coding guide available?

Billing and coding information for TALVEY can be found through Janssen Biotech, Inc.. Visit Here →

Is Talvey patient assistance information available?

TALVEY patient assistance information can be found through Janssen. Visit Here →

Where can I find Talvey prescribing information?

TALVEY prescribing information can be found at the link below: Visit Here →

Where can I find Talvey side effect information?

Information regarding TALVEY's potential side effects can be found at MedlinePlus

Does billing TALVEY require JZ/JW wastage modifiers?

CMS does not include TALVEY (J3055) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3055. For more information, visit the link below.

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