XULANE J Code: J7304

Drug & Product Overview

HCPCS Descriptor Contraceptive supply, hormone containing patch, each

HCPCS Added Date January 1, 2005

Manufacturer Multiple Manufacturers

Route of Administration Transdermal

Generic Status Multi-Source; Generic

Dosage Form Patch

About XULANE

Xulane is a medication aligned to the HCPCS J Code: J7304 for billing, pricing, and reimbursement purposes in the United States. Classified under Women's Health, it is administered via the transdermal route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

6 NDC packages are crosswalked to J7304. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	XULANE
	XULANE
	XULANE
	XULANE

Login to view 6 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

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XULANE Pricing & Reimbursement

J7304 Private Payer Reimbursement

$42.06 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Norelgestromin And Ethinyl Estradiol 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J7304	Generic Code (Multiple Manufacturers)	Norelgestromin And Ethinyl Estradiol	Contraceptive supply, hormone containing patch, each

XULANE Medically Unlikely Edits (MUE)

The most billing units of J7304 Medicare will pay for one patient in one day, as published by CMS. 1 unit = each.

Practitioner Office & Hospital Outpatient

0 units / day

Not payable in this setting

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 →

Not on the CMS JW / JZ list

CMS does not include Xulane (J7304) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7304. Wastage billing guide →

XULANE 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.

Contraception Prevention of pregnancy

Drug Class

Estrogen Receptor Agonists [MoA]Estrogen [EPC]Inhibit Ovum Fertilization [PE]Progesterone Congeners [CS]Progestin [EPC]Progestin-containing Intrauterine System [EPC]

Frequently Asked Questions

Is there an available Xulane billing and coding guide?

We have not yet identified a manufacturer source of Xulane billing and coding information.

Are there any available Xulane patient assistance programs?

Our team did not identify a source for Xulane patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Xulane prescribing information?

Our team is still working to identify a prescribing information source for XULANE

Where can I find Xulane side effect information?

Our team has not yet identified a source of side effects information for XULANE. Please check back in a few weeks.

Does billing XULANE require JZ/JW wastage modifiers?

CMS does not include XULANE (J7304) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7304. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.