Heritage Pharma

ACETAZOLAMIDE - Cost

Last Updated: April 1st, 2024

HCPCS:

J1120

HCPCS Code Descriptor:

Injection, acetazolamide sodium, up to 500 mg

Medicare Payment Limit:

The ACETAZOLAMIDE Medicare Payment Limit is $26.234

Average Sale Price:

ACETAZOLAMIDE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ACETAZOLAMIDE Medicare Co-insurance percentage is 20%. ACETAZOLAMIDE's Medicare Co-insurance amount is $5.25 per HCPCS unit.

APC Code:

The Acetazolamide APC Code is: not available

APC Payment Limit:

The APC Payment Limit for ACETAZOLAMIDE is not available.

Acetazolamide Cost Information:

ACETAZOLAMIDE, a Heritage Pharma product, became effective on January 1, 1997 and is associated with HCPCS J1120. ACETAZOLAMIDE has six NDCs mapped to J Code: J1120 with possible errors. Prices have remained relatively level with the exception of ASP. Between 2020 and 2024, ASP has been highly volatile with the most recent movement being a slight upward swing of around 6%.

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Acetazolamide’s wholesale acquisition cost (WAC) information was last updated on:
January 30, 2023
Acetazolamide’s average wholesale price (AWP) information was last updated on:
January 30, 2023