Biogen

Aduhelm - Cost

Last Updated: April 1st, 2024

HCPCS:

J0172

HCPCS Code Descriptor:

Injection, aducanumab-avwa, 2 mg

Medicare Payment Limit:

The Aduhelm Medicare Payment Limit is $5.978

Average Sale Price:

Aduhelm ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Aduhelm Medicare Co-insurance percentage is 20%. Aduhelm's Medicare Co-insurance amount is $1.2 per HCPCS unit.

APC Code:

The Aduhelm APC Code is: 9438

APC Payment Limit:

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

Aduhelm Cost Information:

Aduhelm HCPCS: J0172, became effective on April 7, 2022. Aduhelm has two NDCs mapped to J0172. Beginning in 2022, WAC trended slightly above ASP. However, ASP has risen to meet and remain constant with ASP indicating no significant discounting.

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Aduhelm’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2022
Aduhelm’s average wholesale price (AWP) information was last updated on:
January 1, 2022