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Free Tools
Search above by drug name, or start from the code itself with one of the free tools.
Search any HCPCS drug code for its descriptor, the publicly available NDC packages, and the billing-unit conversion behind the claim.
Open the tool →Look up a publicly available National Drug Code for its package description and aligned HCPCS code, and convert between the 10- and 11-digit formats.
Open the tool →See what Medicare Part B allows per billing unit, the hospital outpatient limit, and how the payment limit has moved quarter by quarter.
Open the tool →Price a claim from the dose or the unit count: the Medicare allowed amount, the 80/20 split, and the charge to submit at your markup.
Open the tool →The free lookups cover the publicly available NDCs. The complete NDC-to-HCPCS alignments and pricing require a login.
Create a free account at pricing.buyandbill.com. No credit card required for basic access.
Who Uses It
Billers and practice managers look up office-administered drug codes and pricing before a claim goes out, ensuring drugs get reimbursed correctly and on-time.
Health plans and claims processors verify coding and reimbursement changes as new drugs reach the market and prices shift. Keeping their claims systems aligned and up-to-date.
Manufacturers, market access teams, and consultants monitor the competitive landscape, comparing products and tracking pricing and historical trends to support launches and inform strategy.
Testimonials
For Manufacturers
A sponsored drug page on BuyandBill.com gives manufacturers a compliant and relevant presence where providers and payers are already searching for pricing and coding information.
When approvals happen and codes change, BuyandBill.com puts your drug's billing and coding details in front of the payers and claim processors who need them most.
Real-time claims system research to track payer-level HCPCS code status and reimbursement policy.
With 35+ years of bio-pharma industry experience, we have supported 150+ specialty and office-administered drug launches, specializing in reimbursement strategy and payer market engagement. Our work spans large established brands, 505(b)(2) products, and the full wave of biosimilar entrants, giving us deep expertise in the reimbursement and payer alignment challenges unique to various product types.
Our track record includes:
Reach out to learn how BuyandBill.com and Alchemy Healthcare Solutions can support your payer launch and pricing alignment strategy.
FAQ
Yes, the site that you are currently on is free to use. BuyandBill.com is publicly available and free for everyone.
To access more data, you'll need to create an account on pricing.buyandbill.com. Creating an account is free, but all subscriptions are paid.
Buy-and-bill refers to the process of a healthcare provider purchasing a drug, administering it to a patient, and billing the cost of the drug to a payer.
However, we use 'buy-and-bill drugs' to refer to any drugs that are provider-administered and billed under HCPCS drug codes, typically J-Codes, Q-Codes, or C-Codes. The BuyandBill.com platforms are centered around provider-administered/HCPCS-coded drug data.
BuyandBill.com publishes HCPCS coding information, CMS-published pricing benchmarks, certain NDC - HCPCS alignments, and general reimbursement information.
For advanced data, users will need to login to our platform. Once subscribed, users can access full NDC - HCPCS alignments, recalculated ASP information, WAC/AWP information, 10 years of pricing history, comparative reporting, and more.
On BuyandBill.com, you can access and search by a limited number of publicly-available NDC - HCPCS alignments. For full NDC - HCPCS alignments, users will need to login to pricing.buyandbill.com.
No, this is a common misconception. The CMS-published Medicare Payment Limit is not the same as the average sales price. Typically, the Medicare Payment Limit is 6% above ASP, however, this is not always the case and sometimes the ASP calculation can be more complex.
Data on BuyandBill.com is typically updated monthly, however, it can sometimes be more frequent when HCPCS information changes. The data on our subscription platform, pricing.buyandbill.com, is updated weekly at a minimum.
Manufacturers and industry partners can sponsor drug pages, run payer alert email campaigns, and request payer claims research. Reach out through our contact page to talk with our team.
No results found. Try a different search term or browse all drug codes.
The Comparative Report puts ASP, the Medicare payment limit, WAC and AWP for up to 15 drugs on one timeline. Ten-plus years of monthly history, per HCPCS unit.
Included with BuyandBill Pro for $37/month billed annually.
Trastuzumab class, seven products
Actual published ASP, Jan 2015 to Aug 2026.