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Updated October 1st, 2026

TRUVADA J Code: J0751

Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)

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Medicare Payment Limit ?
$74.941
/ HCPCS billing unit
APC Payment Limit ?
$74.941
/ HCPCS billing unit · APC 0808
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)
HCPCS Added Date January 2, 2024
Manufacturer Gilead Sciences
Route of Administration Oral
Generic Status Single-Source; Branded
Dosage Form Tablet

About TRUVADA

Truvada is a medication aligned to the HCPCS J Code: J0751 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-HIV drug administered via the oral route and manufactured by Gilead Sciences.

According to CMS Drug Use Information: This product is used with other HIV medications to help control HIV infection. It helps to decrease the amount of HIV in your body so your immune system can work better. This lowers your chance of getting HIV complications (such as new infections, cancer) and improves your quality of life. This product is a combination of two different drugs: emtricitabine and tenofovir alafenamide. Emtricitabine is called a nucleoside reverse transcriptase inhibitor, while tenofovir alafenamide is called a nucleotide reverse transcriptase inhibitor. They are often called NRTIs. This product should not be used by itself to help control HIV infection. Doing so can make your treatment less effective. Use combination treatment with at least one other HIV medication. This product is also approved in the US to help prevent HIV infection in people who have a high risk for infection. Some things that increase risk include having a partner infected with HIV, having unprotected sex, having multiple sex partners, infection with a sexually transmitted disease-STD, or use/abuse of drugs or alcohol. Emtricitabine/tenofovir alafenamide is not a cure for HIV infection. To decrease your risk of spreading HIV disease to others, continue to take all HIV medications exactly as prescribed by your doctor. Use an effective barrier method (latex or polyurethane condoms/dental dams) during sexual activity as directed by your doctor. Do not share personal items (such as needles/syringes, toothbrushes, and razors) that may have contacted blood or other body fluids. Consult your doctor or pharmacist for more details.

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

2 NDC packages are crosswalked to J0751. Package detail is available to logged-in subscribers.

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TRUVADA Pricing & Reimbursement

J0751 Private Payer Reimbursement
$71.40 / 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 Q4 2026
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 →

TRUVADA 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.

Treatment of HIV-1 Infection HIV-1 Pre-Exposure Prophylaxis (PrEP)
Drug Class
Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor [EPC]Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor [EPC]Nucleoside Reverse Transcriptase Inhibitors [MoA]Nucleosides [CS]

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Frequently Asked Questions

Is there an available Truvada billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for TRUVADA.
Are there any available Truvada patient assistance programs?
TRUVADA patient assistance information can be found through GILEAD SCIENCES. Visit Here →
Where can I find Truvada prescribing information?
TRUVADA prescribing information can be found at the link below: Visit Here →
Where can I find Truvada side effect information?
Information regarding TRUVADA's side effects can be found at MedlinePlus Visit Here →
Does billing TRUVADA require JZ/JW wastage modifiers?
CMS does not include TRUVADA (J0751) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0751. For more information, visit the link below.

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