`J2700` Oxacillin sodium injeciton

Injection, oxacillin sodium, up to 250 mg

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 48 units per day (clinical), rationale: Clinical: Data
Outpatient hospital: max 48 units per day (clinical), rationale: Clinical: Data
DME supplier: max 0 units per day (clinical), rationale: CMS Policy

Medicare pricing for J2700

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

J2700 payment limit: $0.768 per 250 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.

NDCs that bill under J2700 (CMS ASP NDC-HCPCS crosswalk, October 2026)

00338-1015-41 Bactocill In Dextrose, Baxter Healthcare Corporation: 8 billing units per package (50 mL in 1 BAG)
72485-0409-10 Oxacillin Sodium, Armas Pharmaceuticals Inc.: 80 billing units per package (10 VIAL in 1 CARTON / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
55150-0127-15 Oxacillin Sodium, Eugia US LLC: 40 billing units per package (10 VIAL in 1 BOX / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
55150-0128-24 Oxacillin Sodium, Eugia US LLC: 80 billing units per package (10 VIAL in 1 BOX / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL)
55150-0129-99 Oxacillin Sodium, Eugia US LLC: 40 billing units per package (1 VIAL, PHARMACY BULK PACKAGE in 1 BOX / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE)
63323-0811-00 Oxacillin Sodium, FreseniUS Kabi USA, LLC: 40 billing units per package (1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE)
63323-0812-20 Oxacillin Sodium, FreseniUS Kabi USA, LLC: 80 billing units per package (10 VIAL, SINGLE-DOSE in 1 CARTON / 20 mL in 1 VIAL, SINGLE-DOSE)
63323-0813-20 Oxacillin Sodium, FreseniUS Kabi USA, LLC: 40 billing units per package (10 VIAL, SINGLE-DOSE in 1 CARTON / 20 mL in 1 VIAL, SINGLE-DOSE)
25021-0146-10 Oxacillin Sodium, Sagent Pharmaceuticals: 40 billing units per package
25021-0162-24 Oxacillin Sodium, Sagent Pharmaceuticals: 80 billing units per package
25021-0162-68 Oxacillin Sodium, Sagent Pharmaceuticals: 80 billing units per package
25021-0163-68 Oxacillin Sodium, Sagent Pharmaceuticals: 400 billing units per package
25021-0163-97 Oxacillin Sodium, Sagent Pharmaceuticals: 40 billing units per package
25021-0163-99 Oxacillin Sodium, Sagent Pharmaceuticals: 400 billing units per package

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for J2700

Payer coverage policies that name J2700

J2700 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Injectable Medications (0020)	listed, no stance (range J2550-J3520)	Mar 5, 2026	payer document

Medicaid fee-for-service

AZ: $0.76 (outpatient_hospital), effective Jul 1, 2026
FL: $48.00 (physician_administered_drugs), effective Jan 1, 2026
IL: $0.83 (practitioner), effective Apr 1, 2026
IN: $1.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jul 1, 2024
KS: $0.77 (default), effective Oct 1, 2026
KY: $0.00 (asc), effective Jan 1, 2026
LA: $0.76 (professional), effective Jul 1, 2026
MS: $0.85 (comprehensive), effective Jul 1, 2026
NE: $0.76 (injectables), effective Jul 1, 2026
OH: $0.85 (provider_administered_drugs), effective Jul 1, 2026
OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
TX: $0.57 (healthy_texas_women, Clinic/Group Practice, non-facility), effective Sep 1, 2026
VA: $0.76 (medical), effective Jul 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $0.76 (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.

J2700 Oxacillin sodium injeciton