J7520

Code

J7520

Description

Sirolimus, oral, 1 mg

CMS HCPCS quarterly update

• 00008-1041-05 Rapamune, Pfizer Inc. Billable units per 11-digit NDC: 100.
• 00008-1042-05 Rapamune, Pfizer Inc. Billable units per 11-digit NDC: 200.
• 16714-0187-01 Sirolimus, Northstar RxLLC. Billable units per 11-digit NDC: 50.
• 16714-0188-01 Sirolimus, Northstar RxLLC. Billable units per 11-digit NDC: 100.
• 16714-0189-01 Sirolimus, Northstar RxLLC. Billable units per 11-digit NDC: 200.
• 50268-0718-13 Sirolimus, AvPAK. Billable units per 11-digit NDC: 30.
• 55111-0653-01 Sirolimus, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 100.
• 55111-0654-01 Sirolimus, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 200.
• 59762-1001-01 Sirolimus, Mylan Pharmaceuticals Inc.. Billable units per 11-digit NDC: 50.
• 59762-1002-01 Sirolimus, Mylan Pharmaceuticals Inc.. Billable units per 11-digit NDC: 100.
• 59762-1003-01 Sirolimus, Mylan Pharmaceuticals Inc.. Billable units per 11-digit NDC: 200.
• 59762-1205-06 Sirolimus, Mylan Pharmaceuticals Inc.. Billable units per 11-digit NDC: 60.
• 60505-6197-02 Sirolimus, Apotex Corp. Billable units per 11-digit NDC: 60.
• 67877-0746-01 Sirolimus, Ascend Laboratories, LLC. Billable units per 11-digit NDC: 50.
• 67877-0747-01 Sirolimus, Ascend Laboratories, LLC. Billable units per 11-digit NDC: 100.
• 67877-0748-01 Sirolimus, Ascend Laboratories, LLC. Billable units per 11-digit NDC: 200.
• 68084-0915-25 Sirolimus, American Health Packaging. Billable units per 11-digit NDC: 30.
• 68462-0682-01 Sirolimus, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 50.
• 68462-0683-01 Sirolimus, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 100.
• 68462-0684-01 Sirolimus, Glenmark Pharmaceuticals Inc., USA. Billable units per 11-digit NDC: 200.
• 69238-1594-03 Sirolimus, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 60.
• 72205-0099-78 Sirolimus, Novadoz Pharmaceuticals LLC. Billable units per 11-digit NDC: 60.
• 72603-0409-01 Sirolimus, Northstar RxLLC. Billable units per 11-digit NDC: 60.

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