HCPCS J3030

Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

HCPCS Information

HCPCS Code: J3030
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J3030 identifies the type of service or supply used while any of the 17 NDC codes below could be used to specify the exact drug used.
Short Description
Sumatriptan succinate / 6 mg
Long Description
Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Other drugs
HCPCS Classification
List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0093-2013Sumatriptan Teva Pharmaceuticals Usa Inc
0093-2013 Sumatriptan SuccinateInjectionTeva Pharmaceuticals Usa, Inc.ACTIVE
0093-2014Sumatriptan Teva Pharmaceuticals Usa Inc
0093-2014 Sumatriptan SuccinateInjectionTeva Pharmaceuticals Usa, Inc.ACTIVE
0173-0449Imitrex Glaxosmithkline Llc
0173-0739Imitrex SumatriptanInjectionSubcutaneousGlaxosmithkline LlcACTIVE
0245-0809Zembrace Symtouch Sumatriptan SuccinateInjection, SolutionSubcutaneousUpsher-smith Laboratories, LlcACTIVE
16714-040Sumatriptan Succinate Northstar Rx Llc
43598-768Sumatriptan Succinate Sumatriptan SuccinateInjectionSubcutaneousDr. Reddy�s Laboratories Inc.,ACTIVE
66993-083Sumatriptan SumatriptanInjection, SolutionSubcutaneousPrasco LaboratoriesACTIVE
66993-084Sumatriptan SumatriptanInjection, SolutionSubcutaneousPrasco LaboratoriesACTIVE
67457-879Sumatriptan Mylan Institutional Llc
67457-880Sumatriptan Mylan Institutional Llc
67857-809Zembrace Symtouch Promius Pharma, LlcINACTIVATED
70069-804Sumatriptan SumatriptanInjection, SolutionSubcutaneousSomerset Therapeutics, LlcACTIVE
70594-068Sumatriptan Sumatriptan SuccinateInjectionSubcutaneousXellia Pharmaceuticals Usa LlcACTIVE
72603-141Sumatriptan Succinate Sumatriptan SuccinateInjectionSubcutaneousNorthstar Rx LlcACTIVE