Specialty Drug Reimbursement Newsletter

Specialty Drug Reimbursement Newsletter | September 2026

September

10

2026

RJ Health, an MMIT company, delivers industry standard specialty drug pricing, coding and reimbursement solutions to support payer and provider alignment.

Every month, our team evaluates a variety of pricing and coding updates. In the September edition of the Specialty Drug Reimbursement Newsletter, we identified 50 drug code price changes this month, with 14 of them being price decreases. We have also identified drugs to be added or updated within our database. Preview some of these insights below:

This month, during our review of the 4252 Reimbursement HCPCS/CPT® Codes in our system, we identified 50 Drug Codes that required a recalculation of their AWP Code Price. Clients can log in to www.ReimbursementCodes.com to view the pricing updates for these codes.

90632 90740 J0164 J1920 J7626
90633 90743 J0281 J2700 J7631
90647 90744 J0586 J2916 J9061
90651 90746 J0593 J3010 J9076
90653 A4217 J0598 J3410 J9280
90660 A9526 J0690 J3424 J9342
90671 B4159 J0875 J3489 J9348
90680 B4161 J1290 J7121 Q4117
90710 C9293 J1364 J7507 Q5154
90716 J0153 J1885 J7520 Q5155

ReimbursementCodes was designed for organizations like yours to manage pricing, coding and clinical challenges related to specialty drugs. To gain access to this tool and view the rest of the insights we captured this month, visit our site or contact marketing@mmitnetwork.com.

RJ Health Clinical Team

RJ Health Clinical Team

Featured
what-do-payers-really-think-about-your-brand

What Do Payers Really Think About Your Brand?

not-all-ai-speaks-market-access

Not All AI Speaks Market Access

how-vertical-integration-rewriting-biosimilar-strategy

How Vertical Integration Is Rewriting Biosimilar Strategy

Stay In Touch

Be the first to know about new arrivals and promotions

NEW RELEASE: The State of Patient Access 2026