J8501 Oral aprepitant

Aprepitant, oral, 5 mg

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for J8501

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

J8501 payment limit: $2.511 per 5 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.

NDCs that bill under J8501 (CMS ASP NDC-HCPCS crosswalk, October 2026)

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for J8501

Payer coverage policies that name J8501

J8501 appears in 4 coverage policies from Aetna, Centene, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaRevakinagene Taroretcel-lwey (Encelto) (1079)listed, no stance (range J8501-J9999)Oct 5, 2026payer document
CenteneAprepitant (Aponvie, Emend, Cinvanti), Fosaprepitant (Emend for Injection, Focinvez) (CP.PMN.19)covered if criteria are metAug 1, 2026payer document
UnitedHealthcareAntiemetics for Oncology (CS2026D0093O)listed, no stanceApr 1, 2026payer document
UnitedHealthcareOncology Medication Clinical Coverage (2026D0030AR)listed, no stanceSep 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $3.07 (outpatient_hospital), effective Jul 1, 2026
  • IL: $59.73 (practitioner), effective Apr 1, 2026
  • KY: $0.00 (asc), effective Jan 1, 2026
  • MA: $2.89 (dme_rates), effective Mar 1, 2026
  • NE: $3.06 (injectables), effective Jul 1, 2026
  • OH: $3.07 (provider_administered_drugs), effective Jul 1, 2026
  • OK: $3.07 (physician, non-facility), effective Jul 1, 2026
  • VA: $3.06 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 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.