Novartis

AFINITOR - Cost

Last Updated: April 1st, 2024

HCPCS:

J7527

HCPCS Code Descriptor:

Everolimus, oral, 0.25 mg

Medicare Payment Limit:

The AFINITOR Medicare Payment Limit is $2.684

Average Sale Price:

AFINITOR ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The AFINITOR Medicare Co-insurance percentage is 20%. AFINITOR's Medicare Co-insurance amount is $0.54 per HCPCS unit.

APC Code:

The Afinitor APC Code is: not available

APC Payment Limit:

The APC Payment Limit for AFINITOR is not available.

Afinitor Cost Information:

AFINITOR, became effective on January 1, 2014, and is aligned to HCPCS J7527. AFINITOR has 41 NDCs mapped to J7527 with only a few potential discrepancies found. From 2016 to 2020, pricing trended upwards and saw gradual increases of a couple percentage points every six months. However, in 2021, prices began to fall significantly by an estimated 70% through 2024.

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Afinitor’s wholesale acquisition cost (WAC) information was last updated on:
January 10, 2024
Afinitor’s average wholesale price (AWP) information was last updated on:
January 10, 2024