Home Drug Codes J Codes J3095 · VIBATIV
Updated July 1st, 2026

VIBATIV J Code: J3095

Injection, telavancin, 10 mg

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Q4 2026 Medicare Payment Limit for J3095, effective October 1, 2026: $8.149 per HCPCS billing unit, up 8.9% from $7.484. From CMS's final file.

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Medicare Payment Limit ?
$7.484
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$7.484
/ HCPCS billing unit · APC 9258
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Drug & Product Overview

HCPCS Descriptor Injection, telavancin, 10 mg
HCPCS Added Date January 1, 2011
Manufacturer Cumberland Pharmaceuticals
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution

About VIBATIV

Vibativ is a medication aligned to the HCPCS J Code: J3095 for billing, pricing, and reimbursement purposes in the United States. Classified under Antibiotic, it is administered via the intravenous route and manufactured by Cumberland Pharmaceuticals.

According to CMS Drug Use Information: This medication is an antibiotic used to treat serious bacterial infections of the skin and certain types of pneumonia. It works by stopping the growth of bacteria.

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 2 of 3 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
66220-0315-22 Vibativ Cumberland Pharmaceuticals Inc. 900 750 MG / 50 ML
66220-0315-44 Vibativ Cumberland Pharmaceuticals Inc. 300 750 MG / 50 ML
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VIBATIV Pricing & Reimbursement

J3095 Private Payer Reimbursement
$7.28 / 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

VIBATIV 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
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
JW / JZ modifiers apply

CMS has identified Vibativ (J3095) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

VIBATIV Medically Unlikely Edits (MUE)

The most billing units of J3095 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient
150 units / day
= 1,500 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.

VIBATIV 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.

Complicated Skin and Skin Structure Infections Hospital-Acquired Bacterial Pneumonia/Ventilator-Associated Bacterial Pneumonia
Drug Class
Lipoglycopeptide Antibacterial [EPC]Lipoglycopeptides [EXT]

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Frequently Asked Questions

Is there an available Vibativ billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for VIBATIV.
Are there any available Vibativ patient assistance programs?
VIBATIV patient assistance information can be found through Cumberland Pharmaceuticals. Visit Here →
Where can I find Vibativ prescribing information?
VIBATIV prescribing information can be found at the link below: Visit Here →
Where can I find Vibativ side effect information?
Information regarding VIBATIV's side effects can be found at MedlinePlus Visit Here →
Does billing VIBATIV require JZ/JW wastage modifiers?
CMS has identified VIBATIV(J3095) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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