J1190

Code

J1190

Description

Injection, dexrazoxane hydrochloride, per 250 mg

CMS HCPCS quarterly update

• 00143-9247-01 Dexrazoxane, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1.
• 00143-9248-01 Dexrazoxane, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 2.
• 55150-0434-01 Dexrazoxane, Eugia US LLC. Billable units per 11-digit NDC: 1.
• 55150-0434-02 Dexrazoxane, Eugia US LLC. Billable units per 11-digit NDC: 1.
• 55150-0437-01 Dexrazoxane, Eugia US LLC. Billable units per 11-digit NDC: 2.
• 72205-0247-01 Dexrazoxane, Novadoz Pharmaceuticals LLC. Billable units per 11-digit NDC: 1.
• 72205-0248-01 Dexrazoxane, Novadoz Pharmaceuticals LLC. Billable units per 11-digit NDC: 2.
• 72266-0101-01 Dexrazoxane, Fosun Pharma USA Inc.. Billable units per 11-digit NDC: 2.
• 72266-0235-01 Dexrazoxane, Fosun Pharma USA Inc.. Billable units per 11-digit NDC: 1.
• 72611-0716-01 Dexrazoxane, Almaject, Inc.. Billable units per 11-digit NDC: 2.
• 72611-0716-72 Dexrazoxane, Almaject, Inc.. Billable units per 11-digit NDC: 2.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.