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J1

Cap no-pay for prescript num

✓ CURRENT — JULY 2026
Source: CMS
Imported: Aug 10 2026

Full descriptor

Competitive acquisition program no-pay submission for a prescription number

Details

Code
J1
Short descriptor
Cap no-pay for prescript num
Code set
HCPCS Modifiers
Release
July 2026
Status
Active
Added
Jan 1 2006

Nearby codes

Code sets are published in blocks, so neighbours are usually related.

J2

Cap restock of emerg drugs

JA

Administered intravenously

JB

Administered subcutaneously

JC

Skin substitute graft

JD

Skin sub not used as a graft

JE

Administered via dialysate

JK

Drug supply 1 month or less

JL

Drug 3 month supply

Sources

Reference information only. Not billing advice. Verify against the payer before you file.