J1885 Ketorolac tromethamine injInjection, ketorolac tromethamine, per 15 mg
J1885 payment limit: $0.569 per 15 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.
50090-1328-01 Ketorolac Tromethamine, A-S Medication Solutions: 4 billing units per package50090-3364-00 Ketorolac Tromethamine, A-S Medication Solutions: 50 billing units per package50090-3364-01 Ketorolac Tromethamine, A-S Medication Solutions: 50 billing units per package50090-3397-01 Ketorolac Tromethamine, A-S Medication Solutions: 100 billing units per package50090-4583-00 Ketorolac Tromethamine, A-S Medication Solutions: 100 billing units per package50090-4635-00 Ketorolac Tromethamine, A-S Medication Solutions: 100 billing units per package50090-4635-01 Ketorolac Tromethamine, A-S Medication Solutions: 4 billing units per package50090-5013-00 Ketorolac Tromethamine, A-S Medication Solutions: 50 billing units per package50090-5013-01 Ketorolac Tromethamine, A-S Medication Solutions: 2 billing units per package50090-5428-00 Ketorolac Tromethamine, A-S Medication Solutions: 50 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)50090-5428-01 Ketorolac Tromethamine, A-S Medication Solutions: 2 billing units per package (1 mL in 1 VIAL)50090-5609-00 Ketorolac Tromethamine, A-S Medication Solutions: 25 billing units per package (25 VIAL, SINGLE-DOSE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-DOSE)50090-6772-00 Ketorolac Tromethamine, A-S Medication Solutions: 100 billing units per package (25 VIAL in 1 CARTON / 2 mL in 1 VIAL)50090-6772-01 Ketorolac Tromethamine, A-S Medication Solutions: 4 billing units per package (1 VIAL in 1 CARTON / 2 mL in 1 VIAL)50090-6807-00 Ketorolac Tromethamine, A-S Medication Solutions: 25 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)62332-0599-25 Ketorolac Tromethamine, Alembic Pharmaceuticals Inc.: 25 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)62332-0600-25 Ketorolac Tromethamine, Alembic Pharmaceuticals Inc.: 50 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)62332-0601-25 Ketorolac Tromethamine, Alembic Pharmaceuticals Inc.: 100 billing units per package (25 VIAL in 1 CARTON / 2 mL in 1 VIAL)70860-0700-02 Ketorolac Tromethamine, Athenex Pharmaceutical Division, LLC: 25 billing units per package70860-0701-03 Ketorolac Tromethamine, Athenex Pharmaceutical Division, LLC: 50 billing units per package70860-0701-04 Ketorolac Tromethamine, Athenex Pharmaceutical Division, LLC: 100 billing units per package00338-0069-10 Ketorolac Tromethamine, Baxter Healthcare Corporation: 10 billing units per package (10 VIAL in 1 CARTON / 1 mL in 1 VIAL)00338-0072-25 Ketorolac Tromethamine, Baxter Healthcare Corporation: 50 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)65145-0145-25 Ketorolac Tromethamine, Caplin Steriles USA Inc.: 50 billing units per package (25 VIAL, SINGLE-DOSE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-DOSE)65145-0146-25 Ketorolac Tromethamine, Caplin Steriles USA Inc.: 25 billing units per package (25 VIAL, SINGLE-DOSE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-DOSE)65145-0147-25 Ketorolac Tromethamine, Caplin Steriles USA Inc.: 100 billing units per package (25 VIAL, SINGLE-DOSE in 1 CARTON / 2 mL in 1 VIAL, SINGLE-DOSE)72572-0354-10 Ketorolac Tromethamine, Civica, Inc.: 10 billing units per package (10 VIAL, SINGLE-DOSE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-DOSE)72572-0355-25 Ketorolac Tromethamine, Civica, Inc.: 50 billing units per package (25 VIAL, SINGLE-DOSE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-DOSE)72572-0356-25 Ketorolac Tromethamine, Civica, Inc.: 25 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)72266-0118-25 Ketorolac Tromethamine, Fosun Pharma USA Inc.: 50 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)72266-0119-25 Ketorolac Tromethamine, Fosun Pharma USA Inc.: 100 billing units per package (25 VIAL in 1 CARTON / 2 mL in 1 VIAL)72266-0234-25 Ketorolac Tromethamine, Fosun Pharma USA Inc.: 25 billing units per package (25 VIAL in 1 CARTON / 1 mL in 1 VIAL)63323-0161-01 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 25 billing units per package (25 VIAL, SINGLE-USE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-USE)63323-0161-12 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 25 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE)63323-0161-16 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 25 billing units per package (25 VIAL, SINGLE-USE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-USE)63323-0162-01 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 50 billing units per package (25 VIAL, SINGLE-USE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-USE)63323-0162-02 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 100 billing units per package (25 VIAL, SINGLE-USE in 1 TRAY / 2 mL in 1 VIAL, SINGLE-USE)63323-0162-12 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 50 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE)63323-0162-14 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 100 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 2 mL in 1 VIAL, SINGLE-DOSE)63323-0162-16 Ketorolac Tromethamine, FreseniUS Kabi USA, LLC: 50 billing units per package (25 VIAL, SINGLE-USE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-USE)And 31 more NDCs.
Status E: excluded from the PFS by regulation.
J1885 appears in 6 coverage policies from Aetna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Adalimumab (0655) Anakinra (Kineret), Rinvoq, Otezla and Xeljanz, Clindamycin, Metronidazole, Rifampicin, Sulfasalazine, Leflunomide - | listed, no stance | Jul 13, 2026 | payer document |
| Aetna | Back Pain - Invasive Procedures (0016) | covered if criteria are met | Oct 6, 2026 | payer document |
| Aetna | Back Pain - Invasive Procedures (0016) | not covered | Oct 6, 2026 | payer document |
| Aetna | Bunionectomy (0629) | listed, no stance | Sep 11, 2026 | payer document |
| Aetna | Headaches: Nonsurgical Management (0462) | covered if criteria are met | Jul 23, 2026 | payer document |
| Aetna | Injectable Medications (0020) | listed, no stance (range J0278-J2543) | Mar 5, 2026 | payer document |
| Aetna | Vasectomy Procedures and Chronic Scrotal Content Pain (0027) | listed, no stance | Jan 27, 2026 | payer document |
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.