Home › Drug Codes › J Codes › J2358 · ZYPREXA RELPREVV
Updated July 1st, 2026

ZYPREXA RELPREVV J Code: J2358

Injection, olanzapine, long-acting, 1 mg

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Q4 2026 Medicare Payment Limit for J2358, effective October 1, 2026: $3.202 per HCPCS billing unit, up 0.1% from $3.199. From CMS's final file.

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Medicare Payment Limit ?
$3.199
/ 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, olanzapine, long-acting, 1 mg
HCPCS Added Date January 1, 2011
Manufacturer Eli Lilly
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About ZYPREXA RELPREVV

Zyprexa Relprevv is a medication aligned to the HCPCS J Code: J2358 for billing, pricing, and reimbursement purposes in the United States. This Psychiatric medication is administered via the intramuscular route and manufactured by Eli Lilly.

According to CMS Drug Use Information: This medication is used to treat a certain mental/mood disorder (schizophrenia). Extended-release olanzapine injection is a long-acting form of olanzapine. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain.

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

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00002-7635-11 Zyprexa Relprevv Eli Lilly and Company 210 210 MG
00002-7636-11 Zyprexa Relprevv Eli Lilly and Company 300 300 MG
00002-7637-11 Zyprexa Relprevv Eli Lilly and Company 405 405 MG
61269-0660-20 ZYPREXA Relprevv H2-Pharma LLC 210 Kit
61269-0661-20 ZYPREXA Relprevv H2-Pharma LLC 300 Kit
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ZYPREXA RELPREVV Pricing & Reimbursement

J2358 Private Payer Reimbursement
$3.12 / 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

ZYPREXA RELPREVV 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
JW / JZ modifiers apply

CMS has identified Zyprexa Relprevv (J2358) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ZYPREXA RELPREVV Medically Unlikely Edits (MUE)

The most billing units of J2358 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
405 units / day
= 405 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.

ZYPREXA RELPREVV 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.

Schizophrenia

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Frequently Asked Questions

Is there an available Zyprexa Relprevv billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for ZYPREXA RELPREVV.
Are there any available Zyprexa Relprevv patient assistance programs?
ZYPREXA RELPREVV patient assistance information can be found through Eli Lilly and Company. Visit Here →
Where can I find Zyprexa Relprevv prescribing information?
ZYPREXA RELPREVV prescribing information can be found at the link below: Visit Here →
Where can I find Zyprexa Relprevv side effect information?
Information regarding ZYPREXA RELPREVV's side effects can be found at MedlinePlus Visit Here →
Does billing ZYPREXA RELPREVV require JZ/JW wastage modifiers?
CMS has identified ZYPREXA RELPREVV(J2358) 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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