Genentech

ACTEMRA - Cost

Last Updated: April 1st, 2024

HCPCS:

J3262

HCPCS Code Descriptor:

Injection, tocilizumab, 1 mg

Medicare Payment Limit:

The ACTEMRA Medicare Payment Limit is $6.042

Average Sale Price:

ACTEMRA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ACTEMRA Medicare Co-insurance percentage is 20%. ACTEMRA's Medicare Co-insurance amount is $1.21 per HCPCS unit.

APC Code:

The Actemra APC Code is: 9264

APC Payment Limit:

The APC Payment Limit for ACTEMRA is available. Login to view.

Actemra Cost Information:

ACTEMRA, manufactured by Genentech, became effective on January 1, 2011, and is aligned to HCPCS J3262. ACTEMRA has five NDCs aligned to J Code: J3262. There have been potential errors or discrepancies found with these mappings. Between 2020 and 2022, AWP and WAC remained constant while ASP increased by over 10%.

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Actemra’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Actemra’s average wholesale price (AWP) information was last updated on:
April 1, 2023