`J2185` Meropenem

Injection, meropenem, 100 mg

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

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 60 units per day (clinical), rationale: Prescribing Information
Outpatient hospital: max 60 units per day (clinical), rationale: Prescribing Information
DME supplier: max 0 units per day (clinical), rationale: CMS Policy

Medicare pricing for J2185

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

J2185 payment limit: $0.358 per 100 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.

NDCs that bill under J2185 (CMS ASP NDC-HCPCS crosswalk, October 2026)

70121-1453-07 Meropenem, Amneal Pharmaceuticals, LLC: 100 billing units per package (10 VIAL, GLASS in 1 CARTON / 30 mL in 1 VIAL, GLASS)
70121-1454-07 Meropenem, Amneal Pharmaceuticals, LLC: 50 billing units per package (10 VIAL, GLASS in 1 CARTON / 20 mL in 1 VIAL, GLASS)
72485-0411-10 Meropenem, Armas Pharmaceuticals Inc.: 50 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
72485-0412-10 Meropenem, Armas Pharmaceuticals Inc.: 100 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
72572-0410-10 Meropenem, Civica, Inc.: 100 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
72572-0412-10 Meropenem, Civica, Inc.: 50 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
72572-0415-10 Meropenem, Civica, Inc.: 50 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
72572-0416-10 Meropenem, Civica, Inc.: 100 billing units per package (10 VIAL in 1 CARTON / 30 mL in 1 VIAL)
55150-0207-20 Meropenem, Eugia US LLC: 50 billing units per package (10 VIAL in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
55150-0208-30 Meropenem, Eugia US LLC: 100 billing units per package (10 VIAL in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
63323-0507-20 Meropenem, FreseniUS Kabi USA, LLC: 50 billing units per package (10 VIAL in 1 CARTON / 10 mL in 1 VIAL)
63323-0507-21 Meropenem, FreseniUS Kabi USA, LLC: 50 billing units per package (10 VIAL in 1 CARTON / 10 mL in 1 VIAL)
63323-0507-25 Meropenem, FreseniUS Kabi USA, LLC: 125 billing units per package (25 VIAL in 1 CARTON / 10 mL in 1 VIAL)
63323-0508-25 Meropenem, FreseniUS Kabi USA, LLC: 250 billing units per package (25 VIAL in 1 CARTON / 20 mL in 1 VIAL)
63323-0508-30 Meropenem, FreseniUS Kabi USA, LLC: 100 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
63323-0508-31 Meropenem, FreseniUS Kabi USA, LLC: 100 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
00143-9430-10 Meropenem, Hikma Pharmaceuticals USA Inc.: 50 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
00143-9431-10 Meropenem, Hikma Pharmaceuticals USA Inc.: 100 billing units per package (10 VIAL in 1 CARTON / 30 mL in 1 VIAL)
00409-0222-10 Meropenem, Pfizer Inc: 50 billing units per package (10 VIAL in 1 CARTON / 10 mL in 1 VIAL)
00409-1390-51 Meropenem, Pfizer Inc: 50 billing units per package (10 VIAL in 1 CARTON / 10 mL in 1 VIAL)
00409-1391-22 Meropenem, Pfizer Inc: 100 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
00409-3412-10 Meropenem, Pfizer Inc: 100 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
25021-0160-20 Meropenem, Sagent Pharmaceuticals: 50 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
00781-3000-95 Meropenem, Sandoz Inc.: 50 billing units per package (10 VIAL in 1 CARTON / 20 mL in 1 VIAL)
00781-3098-95 Meropenem, Sandoz Inc.: 100 billing units per package (10 VIAL in 1 CARTON / 30 mL in 1 VIAL)
44567-0145-10 Meropenem, WG Critical Care, LLC: 50 billing units per package (10 VIAL in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
44567-0146-10 Meropenem, WG Critical Care, LLC: 100 billing units per package (10 VIAL in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
44567-0400-10 Meropenem, WG Critical Care, LLC: 50 billing units per package (10 VIAL in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
44567-0401-10 Meropenem, WG Critical Care, LLC: 100 billing units per package (10 VIAL in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
70594-0075-02 Meropenem, Xellia Pharmaceuticals USA, LLC.: 50 billing units per package (10 VIAL, GLASS in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS)
70594-0076-02 Meropenem, Xellia Pharmaceuticals USA, LLC.: 100 billing units per package (10 VIAL, GLASS in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS)

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for J2185

Payer coverage policies that name J2185

J2185 appears in 3 coverage policies from Aetna, Anthem.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Anthrax (0483) Obiltoxaximab (Anthim), Raxibacumab	covered if criteria are met	Jul 29, 2026	payer document
Aetna	Injectable Medications (0020)	listed, no stance (range J0278-J2543)	Mar 5, 2026	payer document
Anthem	Parenteral Antibiotics for the Treatment of Lyme Disease (CG-MED-98)	not covered	Nov 6, 2025	payer document

Medicaid fee-for-service

AZ: $0.33 (outpatient_hospital), effective Jul 1, 2026
FL: $30.00 (physician_administered_drugs), effective Jan 1, 2026
IL: $22.26 (practitioner), effective Apr 1, 2026
IN: $0.39 (professional, Advanced Practice Nurse (85%), non-facility), effective Jul 1, 2022
KS: $0.36 (default), effective Oct 1, 2026
KY: $0.00 (asc), effective Jan 1, 2026
MS: $0.37 (comprehensive), effective Jul 1, 2026
NE: $0.32 (injectables), effective Jul 1, 2026
OH: $0.37 (provider_administered_drugs), effective Jul 1, 2026
OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
TX: $0.38 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Sep 1, 2026
VA: $0.32 (medical), effective Jul 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $0.33 (kidneycenters), effective Jul 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

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.

J2185 Meropenem