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Updated July 1st, 2026

TERBUTALINE SULFATE J Code: J3105

Injection, terbutaline sulfate, up to 1 mg

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Q4 2026 Medicare Payment Limit for J3105, effective October 1, 2026: $1.00 per HCPCS billing unit, down 64.5% from $2.82. From CMS's final file.

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Medicare Payment Limit ?
$2.82
/ 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 ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, terbutaline sulfate, up to 1 mg
HCPCS Added Date January 1, 1987
Manufacturer Multiple Manufacturers
Route of Administration Subcutaneous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About TERBUTALINE SULFATE

Terbutaline Sulfate is a medication aligned to the HCPCS J Code: J3105 for billing, pricing, and reimbursement purposes in the United States. This Respiratory medication is administered via the subcutaneous route and manufactured by multiple companies.

According to CMS Drug Use Information: Terbutaline is used to treat wheezing and shortness of breath from lung problems (such as asthma, chronic obstructive pulmonary disease-COPD, bronchitis, emphysema). Terbutaline belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily.

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 4 of 6 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00143-9375-10 Terbutaline Sulfate Hikma Pharmaceuticals USA Inc. 10 1 MG / 1 ML
00143-9746-10 Terbutaline Sulfate Hikma Pharmaceuticals USA Inc. 10 1 MG / 1 ML
59923-0615-05 Terbutaline Sulfate Areva Pharmaceuticals 5 1 MG
63323-0665-01 Terbutaline Sulfate Fresenius Kabi USA, LLC 25 1 MG / 1 ML
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TERBUTALINE SULFATE
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TERBUTALINE SULFATE Pricing & Reimbursement

J3105 Private Payer Reimbursement
$3.58 / 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

TERBUTALINE SULFATE 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
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

CMS does not include Terbutaline Sulfate (J3105) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3105. Wastage billing guide →

TERBUTALINE SULFATE Medically Unlikely Edits (MUE)

The most billing units of J3105 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
2 units / day
= 2 mg per day
Hospital Outpatient
4 units / day
= 4 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

TERBUTALINE SULFATE 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.

bronchospasm associated with asthma, bronchitis, and emphysema

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Frequently Asked Questions

Is there an available Terbutaline Sulfate billing and coding guide?
We have not yet identified a manufacturer source of Terbutaline Sulfate billing and coding information.
Are there any available Terbutaline Sulfate patient assistance programs?
Our team did not identify a source for Terbutaline Sulfate patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Terbutaline Sulfate prescribing information?
Our team is still working to identify a prescribing information source for TERBUTALINE SULFATE
Where can I find Terbutaline Sulfate side effect information?
Our team has not yet identified a source of side effects information for TERBUTALINE SULFATE. Please check back in a few weeks.
Does billing TERBUTALINE SULFATE require JZ/JW wastage modifiers?
CMS does not include TERBUTALINE SULFATE (J3105) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3105. For more information, visit the link below.

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