Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg
Medicare coverage: Carrier judgment
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 12 units per day (clinical), rationale: Prescribing Information
Outpatient hospital: max 12 units per day (clinical), rationale: Prescribing Information
DME supplier: max 12 units per day (clinical), rationale: Prescribing Information
Medicare pricing for J0701
Medicare Part B drug payment limit (ASP, October 2026)
J0701 payment limit: $6.096 per 500 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 7.89%. Note: Inflation-adjusted coinsurance.
NDCs that bill under J0701 (CMS ASP NDC-HCPCS crosswalk, October 2026)
00338-1301-41 Cefepime HCl, Baxter Healthcare Corporation: 48 billing units per package (24 BAG in 1 BOX / 50 mL in 1 BAG)
00338-1301-48 Cefepime HCl, Baxter Healthcare Corporation: 48 billing units per package (12 BAG in 1 BOX / 100 mL in 1 BAG)
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.