J7524 Mycophenol mofetil oral 5 mg

Mycophenolate mofetil, oral, 5 mg

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

Medicare pricing for J7524

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

J7524 payment limit: $0.002 per 5 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%. Note: Added October 2026.

NDCs that bill under J7524 (CMS ASP NDC-HCPCS crosswalk, October 2026)

• 00004-0259-01 Cellcept, Genentech, Inc.: 5000 billing units per package (1 BOTTLE, PLASTIC in 1 CARTON / 100 CAPSULE in 1 BOTTLE, PLASTIC)
• 00004-0259-43 Cellcept, Genentech, Inc.: 25000 billing units per package (1 BOTTLE, PLASTIC in 1 CARTON / 500 CAPSULE in 1 BOTTLE, PLASTIC)
• 00004-0260-01 Cellcept, Genentech, Inc.: 10000 billing units per package (1 BOTTLE, PLASTIC in 1 CARTON / 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC)
• 00004-0260-43 Cellcept, Genentech, Inc.: 50000 billing units per package (1 BOTTLE, PLASTIC in 1 CARTON / 500 TABLET, FILM COATED in 1 BOTTLE, PLASTIC)
• 50090-4275-00 Mycophenolate Mofetil, A-S Medication Solutions: 18000 billing units per package (180 TABLET, FILM COATED in 1 BOTTLE)
• 60687-0438-01 Mycophenolate Mofetil, American Health Packaging: 10000 billing units per package (100 BLISTER PACK in 1 BOX, UNIT-DOSE / 1 TABLET, FILM COATED in 1 BLISTER PACK)
• 60687-0885-01 Mycophenolate Mofetil, American Health Packaging: 5000 billing units per package (100 BLISTER PACK in 1 CARTON / 1 CAPSULE in 1 BLISTER PACK)
• 67877-0225-01 Mycophenolate Mofetil, Ascend Laboratories, LLC: 10000 billing units per package (100 TABLET, FILM COATED in 1 BOTTLE)
• 67877-0225-05 Mycophenolate Mofetil, Ascend Laboratories, LLC: 50000 billing units per package (500 TABLET, FILM COATED in 1 BOTTLE)
• 67877-0266-01 Mycophenolate Mofetil, Ascend Laboratories, LLC: 5000 billing units per package (100 CAPSULE in 1 BOTTLE)
• 67877-0266-05 Mycophenolate Mofetil, Ascend Laboratories, LLC: 25000 billing units per package (500 CAPSULE in 1 BOTTLE)
• 59651-0624-01 Mycophenolate Mofetil, Aurobindo Pharma Usa, Inc.: 5000 billing units per package (100 CAPSULE in 1 BOTTLE)
• 59651-0624-05 Mycophenolate Mofetil, Aurobindo Pharma Usa, Inc.: 25000 billing units per package (500 CAPSULE in 1 BOTTLE)
• 59651-0638-01 Mycophenolate Mofetil, Aurobindo Pharma Usa, Inc.: 10000 billing units per package (100 TABLET, FILM COATED in 1 BOTTLE)
• 50268-0557-15 Mycophenolate Mofetil, AvPAK: 2500 billing units per package (50 BLISTER PACK in 1 BOX / 1 CAPSULE in 1 BLISTER PACK)
• 50268-0558-15 Mycophenolate Mofetil, AvPAK: 5000 billing units per package (50 BLISTER PACK in 1 BOX / 1 TABLET, FILM COATED in 1 BLISTER PACK)
• 73190-0009-01 Mycophenolate Mofetil, AvPAK: 5000 billing units per package (100 CAPSULE in 1 BOTTLE)
• 73190-0009-50 Mycophenolate Mofetil, AvPAK: 25000 billing units per package (500 CAPSULE in 1 BOTTLE)
• 73190-0010-01 Mycophenolate Mofetil, AvPAK: 10000 billing units per package (100 TABLET, FILM COATED in 1 BOTTLE)
• 73190-0010-50 Mycophenolate Mofetil, AvPAK: 50000 billing units per package (500 TABLET, FILM COATED in 1 BOTTLE)
• 23155-0830-01 Mycophenolate Mofetil, Heritage Pharmaceuticals Inc.: 5000 billing units per package (100 CAPSULE in 1 BOTTLE, PLASTIC)
• 23155-0830-05 Mycophenolate Mofetil, Heritage Pharmaceuticals Inc.: 25000 billing units per package (500 CAPSULE in 1 BOTTLE, PLASTIC)
• 23155-0836-01 Mycophenolate Mofetil, Heritage Pharmaceuticals Inc.: 10000 billing units per package (100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC)
• 23155-0836-05 Mycophenolate Mofetil, Heritage Pharmaceuticals Inc.: 50000 billing units per package (500 TABLET, FILM COATED in 1 BOTTLE, PLASTIC)
• 00904-7078-61 Mycophenolate Mofetil, Major Pharmaceuticals: 10000 billing units per package (100 BLISTER PACK in 1 CARTON / 1 TABLET, FILM COATED in 1 BLISTER PACK)
• 00781-2067-01 Mycophenolate Mofetil, Sandoz Inc.: 5000 billing units per package (100 CAPSULE in 1 BOTTLE)
• 00781-2067-05 Mycophenolate Mofetil, Sandoz Inc.: 25000 billing units per package (500 CAPSULE in 1 BOTTLE)
• 00781-5175-01 Mycophenolate Mofetil, Sandoz Inc.: 10000 billing units per package (100 TABLET, FILM COATED in 1 BOTTLE)
• 00781-5175-05 Mycophenolate Mofetil, Sandoz Inc.: 50000 billing units per package (500 TABLET, FILM COATED in 1 BOTTLE)
• 64380-0725-06 Mycophenolate Mofetil, Strides Pharma Science Limited: 10000 billing units per package (100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC)
• 64380-0725-07 Mycophenolate Mofetil, Strides Pharma Science Limited: 50000 billing units per package (500 TABLET, FILM COATED in 1 BOTTLE, PLASTIC)
• 64380-0726-06 Mycophenolate Mofetil, Strides Pharma Science Limited: 5000 billing units per package (100 CAPSULE in 1 BOTTLE, PLASTIC)
• 64380-0726-07 Mycophenolate Mofetil, Strides Pharma Science Limited: 25000 billing units per package (500 CAPSULE in 1 BOTTLE, PLASTIC)
• 00093-7334-01 Mycophenolate Mofetil, Teva Pharmaceuticals USA, Inc.: 5000 billing units per package (100 CAPSULE in 1 BOTTLE)
• 00093-7334-05 Mycophenolate Mofetil, Teva Pharmaceuticals USA, Inc.: 25000 billing units per package (500 CAPSULE in 1 BOTTLE)

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.