J0014 Cocaine hcl nasal (goprelto)

Cocaine hydrochloride nasal solution (goprelto), 1 mg

• Medicare coverage: Carrier judgment
• Status: active (October 2026 file)

Medicare pricing for J0014

Medicare Part B drug payment limit (ASP, October 2026)

J0014 payment limit: $1.825 per 1 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%. Note: Added October 2026.

NDCs that bill under J0014 (CMS ASP NDC-HCPCS crosswalk, October 2026)

• 70839-0362-04 Cocaine HCl, LXO US Inc.: 160 billing units per package (1 BOTTLE, GLASS in 1 CARTON / 4 mL in 1 BOTTLE, GLASS)