Below is a listing of specialty drugs, including the generic and brand names along with the J codes.
For the West Virginia PEIA specialty injectables list, click on https://www.umrwebapps.com/SpecialtyInjectable/77700000
| JCode | GenericName | BrandName | SiteOfCare |
|---|---|---|---|
| J0129 | Abatacept | Orencia/Orencia ClickJect | |
| J0180 | Agalsidase beta | Fabrazyme | |
| J0202 | Alemtuzumab | Lemtrada | |
| J0221 | Alglucosidase alfa | Lumizyme | |
| J0256 | Alpha-1 proteinase inhibitor | Aralast NP/Prolastin-C/Zemaira | |
| J0257 | Alpha-1 proteinase inhibitor | Glassia | |
| J7186 | Antihemophilic factor viii/von willebrand | Alphanate | |
| J7198 | Anti-inhibitor Coagulant Complex | Feiba | |
| Q2041 | Axicabtagene ciloleucel | Yescarta | |
| J0490 | Belimumab | Benlysta | |
| J0517 | Benralizumab | Fasenra | |
| J0584 | Burosumab-twza | Crysvita | |
| J0638 | Canakinumab | Ilaris | |
| J0567 | Cerliponase alfa | Brineura | |
| J7202 | Coagulation Factor IX (Recombinant), Albumin Fusion Protein (rlX-FP) | Idelvion | |
| J7194 | Coagulation Factor IX (Human) | Profilnine | |
| J7193 | Coagulation Factor IX (Human) | Alphanine SD | |
| J7195 | Coagulation Factor IX (Recombinant) | BeneFIX | |
| J7201 | Coagulation Factor IX (Recombinant),Fc Fusion Protein | Alprolix | |
| J1299 | Eculizumab | Soliris | |
| J1301 | Edaravone | Radicava | |
| J3590 | Elapegademase-lvlr | Revcovi | |
| J1322 | Elosulfase alfa | Vimzim | |
| J9210 | Emapalumab | Gamifant | |
| J7170 | Emicizumab-kxwh | Hemlibra | |
| J0606 | Etelcalcetide | Parsabiv | |
| J1428 | Eteplirsen | Exondys 51 | |
| J7200 | Factor ix, (antihemophilic factor) | Rixubis | |
| J7192 | Factor viii (antihemophilic factor, recombinant) | Advate | |
| J7205 | Factor viii fc fusion protein (recombinant) | Eloctate | |
| J7209 | Factor viii, (antihemophilic factor) | Nuwiq | |
| J7182 | Factor viii, (antihemophilic factor) | Novoeight | |
| J7207 | Factor viii, (antihemophilic factor) | Adynovate | |
| J7210 | Factor viii, (antihemophilic factor) | Afstyla | |
| J7208 | Factor viii, (antihemophilic factor) | Jivi | |
| J7175 | Factor X (human) | Coagadex | |
| J7180 | Factor xiii (antihemophilic factor, human) | Corifact | |
| Q5101 | Filgrastim | Zarxio | |
| J1442 | Filgrastim | Neupogen | |
| Q5110 | Filgrastim-aafi | Nivestym | |
| J1458 | Galsulfase | Naglazyme | |
| J1602 | Golimumab | Simponi Aria | |
| J7190 | Hemophilia clotting factor, not otherwise classified | Koate/Koate DVI | |
| J7178 | Human fibrinogen concentrate | Fibryga | |
| J7329 | Hyaluronan or derivative, trivisc, | TriVisc | |
| J1743 | Idursulfase | Elaprase | |
| J1786 | Imigulcerase | Cerezyme | |
| J1572 | Immune globulin | Flebogamma/ Flebogamma Dif | |
| J1557 | immune globulin | Gammaplex | |
| J1556 | Immune globulin | Bivigam | |
| J1555 | Immune globulin | Cuvitru | |
| J1559 | Immune globulin | Hizentra | |
| J1561 | Immune globulin | Gamunex-c/Gammaked | |
| J1459 | Immune globulin | Privigen | |
| J1569 | Immune globulin, (gammagard liquid) | Gammagard Liquid | |
| J1568 | Immune globulin, (octagam) | Octagam | |
| J1566 | Immune globulin, intravenous | Gammagard S/D | |
| J1576 | Immune Globulin, intravenous | Panzyga | |
| J1554 | Immune globulin, intravenous | Asceniv | |
| J1575 | Immune globulin/hyaluronidase, (hyqvia) | HyQvia | |
| J1745 | Infliximab, excludes biosimilars | Remicade | |
| Q5104 | Infliximab-abda (biosimilar) | Renflexis | |
| Q5103 | Infliximab-dyyb (biosimilar) | Inflectra | |
| J7185 | Injection, factor viii (antihemophilic factor) | Xyntha/Xyntha Solofuse | |
| J7181 | Injection, factor xiii a-subunit, (recombinant) | Tretten | |
| J1931 | Laronidase | Aldurazyme | |
| A9513 | Lutetium Lu 177 Dotatate | Lutathera | |
| J2182 | Mepolizumab | Nucala | |
| J2326 | Nusinersen | Spinraza | |
| J2350 | Ocrelizumab | Ocrevus | |
| J3399 | Onasemnogene abeparvovec-xio | Zolgensma (avxs)-101 | |
| J0222 | Patisiran | Onpattro | |
| J2506 | Pegfilgrastim | Neulasta | |
| Q5111 | Pegfilgrastim-cbqv | Udenyca | |
| Q5108 | Pegfilgrastim-jmdb | Fulphila | |
| J1303 | Ravulizmub-cwvz | Ultomiris | |
| J7211 | Recombinant Human Factor VIII | Kovaltry | |
| J7188 | Recombinant Porcine Factor VIII | Obizur | |
| J7189 | Recominant Human Factor Vlla | NovoSeven RT | |
| J0801 | Repository Corticotropin Injection | Acthar (HP Acthar Gel) | |
| J2786 | Reslizumab | Cinqair | |
| J2820 | Sargramostim | Leukine | |
| J2840 | Sebelipase Alfa | Kanuma | |
| J7331 | Sodium hyaluronate | Synojoynt | |
| J7320 | Sodium hyaluronate | GenVisc 850 | |
| J7321 | Sodium hyaluronate | Hyalgan | |
| J7321 | Sodium hyaluronate | Supartz | |
| J7321 | Sodium hyaluronate | Visco-3 | |
| J7322 | Sodium hyaluronate | Hymovis | |
| J7324 | Sodium hyaluronate | Orthovisc | |
| J7326 | Sodium hyaluronate | Gel-One | |
| J7327 | Sodium hyaluronate | Monovisc | |
| J7325 | Sodium hyaluronate | Synvisc | |
| J7325 | Sodium hyaluronate | Synvisc-One | |
| J3060 | Taliglucerace alfa | Elelyso | |
| J1447 | tbo-filgrastim | Granix | |
| J3245 | Tildrakizumab | Ilumya | |
| Q2042 | Tisagenlecleucel | Kymriah | |
| J3262 | Tocilizumab | Actemra | |
| J3380 | Vedolizumab | Entyvio IV | |
| J3385 | Velaglucerase alfa | VPRIV | |
| J3397 | Vestronidase alfa-vjbk | Mepsevii | |
| J7179 | von Willebrand factor (VWF) Recombinant Human | Vonvendi | |
| J7187 | von Willebrand factor complex | Humate-P | |
| J7183 | von Willebrand Factor Complex (human)/Antihemophilic Factor | Wilate | |
| J3398 | Voretigene neparvovec-rzyl | Luxturna | |
| J0885 | Epoetin alfa | Procrit, Epogen | |
| J1551 | Immune globulin | Cutaquig | |
| J1558 | Immune globulin | Xembify | |
| J7204 | Antihemophilic factor | Esperoct | |
| J9312 | Rituximab | Rituxan | |
| Q5119 | Rituximab-pvvr | Ruxience | |
| Q5115 | Rituximab-abbs | Truxima | |
| J1439 | Ferric carboxymaltose | Injectafer | |
| Q0138 | Ferumoxytol | Feraheme | |
| J0717 | Certolizumab pegol | Cimzia | |
| J3358 | Ustekinumab | Stelara IV | |
| J0791 | Ccrizanlizumab | Adakveo | |
| J0896 | Luspatercept | Reblozyl | |
| J0223 | Givosiran | Givlaari | |
| J1429 | Golodirsen | Vyondys 53 | |
| Q5121 | Infliximab-axxq | Avsola | |
| J0597 | C1 Inhibitor (human) | Berinert | |
| J0598 | C1 Inhibitor (human) | Cinryze | |
| J1290 | Ecallantide | Kalbitor | |
| J0596 | C1 Esterase Inhibitor recombinant | Ruconest | |
| J1437 | Ferric derisomaltose | Monoferric | |
| J3241 | Teprotumumab-trbw | Tepezza | |
| J3032 | Eptinezumab | Vyepti | |
| J2507 | Pegloticase | Krystexxa | |
| J2323 | Natalizumab | Tysabri | |
| Q5122 | pegfilgrastim-apgf | Nyvepria | |
| J7352 | Afamelanotide | Scenesse | |
| Q2053 | brexucabtagene autoleucel | Tecartus | |
| J1823 | inebilizumab-cdon | Uplizna | |
| J1427 | Viltolarsen | Viltepso | |
| Q5123 | rituximab-arrx | Riabni | |
| J0775 | collagenase clostridium histolyticum | Xiaflex | |
| J1426 | Casimersen | Amondys 45 | |
| J0224 | Lumasiran | Oxlumo | |
| Q2055 | Ide-cel | Abecma | |
| 90378 | Palivizumab | Synagis | |
| Q2054 | Lisocabtagene Maraleucel | Breyanzi | |
| J1305 | evinacumab-dgnb | Evkeeza | |
| J1809 | fosdenopterin | Nulibry | |
| J7212 | Recombinant Human Factor VIIa | Sevenfact | |
| J0219 | avalglucosidase alfa-ngpt | Nexviazyme | |
| J0491 | anifrolumab-fnia | Saphnelo | |
| J2998 | plasminogen, human tvmh | Ryplazim | |
| Q5120 | pegfilgrastim-bmez | Ziextenzo | |
| J0172 | aducanumab-avwa | Aduhelm | |
| Q2056 | ciltacabtagene autoleucel | Carvykti | |
| J1306 | inclisiran | Leqvio | |
| J0802 | repository corticotropin injection | Cortrophin Gel/ Purified Corticotropin Gel | |
| J9332 | efgartigimod alfa-fcab | Vyvgart | |
| J3490, J3590, C9399 | allogeneic processed thymus tissue | Rethymic | |
| J1302 | Sutimlimab-jome | Enjaymo | |
| J2356 | Tezepelumab-ekko | Tezspire | |
| J0879 | Difelikefalin | Korsuva | |
| A9607 | Lutetium Lu177 Vipivotide tetraxetan | Pluvicto | |
| Q5125 | Filgrastim-ayow | Releuko | |
| Q5130 | Pegfilgrastim-pbbk | Fylnetra | |
| J2327 | risankizumab-rzaa | Skyrizi IV | |
| J0225 | Vutrisiran | Amvuttra | |
| J3387 | elivaldogene autotemcel | Skysona | |
| J3393 | betibeglogene autotemcel | Zynteglo | |
| J1411 | entranacogene dezaparvovec | Hemgenix | |
| J1449 | eflapegrastim-xnst | Rolvedon | |
| J1747 | spesolimab-sbzo | Spevigo IV | |
| Q5127 | pegfilgrastim-fpgk | Stimufend | |
| J0218 | olipudase-alfa | Xenpozyme | |
| J1930 | Lanreotide | Lanreotide | |
| J7213 | Coagulation Factor IX (recombinant) | Ixinity | |
| J9381 | teplizumab | Tzield | |
| J7214 | antihemophilic factor (recombinant), Fc-VWF-XTEN fusion protein-ehtl | Altuviiio | |
| J2329 | ublituximab-xiiy | Briumvi | |
| J0217 | velmanase alfa-tycv | Lamzede | |
| J1304 | tofersen | Qalsody | |
| J2781 | pegcetacoplan injection | Syfovre | |
| J1413 | delandistrogene moxeparvovec-rokl | Elevidys | |
| J3401 | beremagene geperpavec | Vyjuvek | |
| J0174 | lecanemab | Leqembi | |
| J2508 | Pegunigalsidase alfa | Elfabrio | |
| J2782 | Avacincaptad pegol | Izervay | |
| J1412 | Valoctocogene roxaparvovec | Roctavian | |
| J9333 | Rozanolixizumab-noli | Rystiggo | |
| J9376 | Poselimab-bbfg | Veopoz | |
| J9334 | Efgartigimod alfa and hyaluronidase-qvfc | Vyvgart Hytrulo | |
| J7190 | Antihemophilic factor [human], method M, monoclonal purified | Hemofil-M | |
| J7192 | Antihemophilic factor recombinant | Kogenate FS | |
| J7193 | Coagulation Factor IX (human) | Mononine | |
| J7203 | Coagulation Factor IX (recombinant), GlycoPEGylated | Rebinyn | |
| J7192 | Antihemophilic Factor (recombinant) | Recombinate | |
| J7178 | Fibrinogen Concentrate (human), lyophilized powder | RiaSTAP | |
| J7171 | ADAMTS13, recombinant-krhn | Adzynma | |
| J2267 | mirikizumab-mrkz | Omvoh IV | |
| J1203 | cipaglucosidase alfa | Pombiliti | |
| J3392 | exagamglogene autotemcel | Casgevy | |
| J3394 | lovotibeglogene autotemcel | Lyfgenia | |
| J3490, J3590, C9399 | donislecel-juhn | Lantidra | |
| J3490, J3590, C9399 | lifileucel | Amtagvi | |
| J3247 | secukinumab | Cosentyx IV | |
| J3391 | atidarsagene autotemcel | Lenmeldy | |
| J3490, J3590, C9399 | nedosiran | Rivfloza | |
| J1414 | fidanacogene elaparvovec-dzkt | Beqvez | |
| J1747 | spesolimab-sbzo | Spevigo SC | |
| J1552 | Immune globulin intravenous human-stwk | Alyglo | |
| J0175 | donanemab | Kisunla | |
| J2351 | ocrelizumab and hyaluronidase-ocsq | Ocrevus Zunovo | |
| Q2057 | afamitresgene autoleucel | Tecelra | |
| J2357 | Omalizumab | Xolair | |
| J1628 | Guselkumab | Tremfya IV | |
| J0179 | Brolucizumab-dbll | Beovu | |
| Q5124 | Ranibizumab-nuna | Byooviz | |
| J7332 | Sodium Hyaluronate | Triluron | |
| Q5133 | Tocilizumab-bavi | Tofidence | |
| Q5135 | Tocilizumab-aazg | Tyenne | |
| Q2058 | Obecabtagene autocel | Aucatzyl | |
| J1307 | Crovalimab | PiaSky | |
| J7172 | marstacimab-hncq | Hympavzi | |
| J9038 | axatilimab-csfr | Niktimvo | |
| J3402 | remestemcel-l-rknd | Ryoncil | |
| Q5099 | ustekinumab-stba | Steqeyma | |
| Q5100 | ustekinumab-kfce | Yesintek | |
| Q9999 | ustekinumab-aauz | Otulfi | |
| Q9996 | ustekinumab-ttwe | Pyzchiva SC | |
| Q9997 | ustekinumab-ttwe | Pyzchiva IV | |
| Q9998 | ustekinumab-aekn | Selarsdi | |
| Q5137 | ustekinumab-auub | Wezlana SC | |
| Q5138 | ustekinumab-auub | Wezlana IV | |
| J3403 | Revakinagene taroretcel-lwey | Encelto | |
| Q5148 | Filgrastim-txid | Nypozi | |
| J7174 | Fitusiran | Qfitlia | |
| J3389 | Prademagene Zamikeracel | Zevaskyn | |
| J7173 | concizumab-mtci | Alhemo | |
| J1072 | testosterone cyprionate | Azmiro | |
| J0589 | daxibotulinumtoxina-lanm | Daxxify | |
| J0587 | rimabotulinumtoxinB | Myobloc | |
| Q5136 | denosumab-bbdz | Jubbonti | |
| J3490, J3590, C9399 | eladocagene exuparvovec | Kebilidi | |
| Q5152 | eculizumab-aeeb | Bkemv | |
| Q5151 | eculizumab-aagh | Epysqli | |
| Q5098 | ustekinumab-srlf | Imuldosa | |
| J3490, J3590, C9399 | ustekinumab-hmny | Starjemza | |
| J2779 | ranibizumab | Susvimo | |
| Q5134 | natalizumab-sztn | Tyruko | |
| J1553 | immune globulin IV, human-dira | Yimmugo | |
| J9301 | obinutuzumab | Gazyva* | |
| J9256 | nipocalimab-aahu | Imaavy | |
| J3404 | zopapogene imadenovec-drba | Papzimeos |
Please note: This list is subject to periodic change.
Certain benefit plans may exclude specific drugs on this listing. Prior authorization does not guarantee benefit payment. Please refer to your summary plan description to confirm coverage and exclusions.
*Non-oncology indication only
Site of care redirection may apply to injectable drugs when determined to be clinically appropriate.
Select gene therapy (including CAR-T) can be found here: Gene Therapy | UMR (umrwebapps.com)