Auromedics Pharma

ACYCLOVIR SODIUM - Cost

Last Updated: April 1st, 2024

HCPCS:

J0133

HCPCS Code Descriptor:

Injection, acyclovir, 5 mg

Medicare Payment Limit:

The ACYCLOVIR SODIUM Medicare Payment Limit is $0.059

Average Sale Price:

ACYCLOVIR SODIUM ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ACYCLOVIR SODIUM Medicare Co-insurance percentage is 20%. ACYCLOVIR SODIUM's Medicare Co-insurance amount is $0.01 per HCPCS unit.

APC Code:

The Acyclovir Sodium APC Code is: not available

APC Payment Limit:

The APC Payment Limit for ACYCLOVIR SODIUM is not available.

Acyclovir Sodium Cost Information:

ACYCLOVIR SODIUM, HCPCS J0133, became effective on January 1, 2006. ACYCLOVIR SODIUM has 10 NDCs mapped to J0133 with potential mapping errors. During the end of 2022, ASP was a couple percentage points higher than WAC. During 2023, ASP declined and equaled WAC. Beginning in 2024, ASP again rose slightly above WAC.

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Acyclovir Sodium’s wholesale acquisition cost (WAC) information was last updated on:
December 21, 2020
Acyclovir Sodium’s average wholesale price (AWP) information was last updated on:
December 21, 2020