Astellas Pharma

AMBISOME - Cost

Last Updated: April 1st, 2024

HCPCS:

J0289

HCPCS Code Descriptor:

Injection, amphotericin b liposome, 10 mg

Medicare Payment Limit:

The AMBISOME Medicare Payment Limit is $27.682

Average Sale Price:

AMBISOME ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The AMBISOME Medicare Co-insurance percentage is 20%. AMBISOME's Medicare Co-insurance amount is $5.54 per HCPCS unit.

APC Code:

The Ambis:ome APC Code is: 0736

APC Payment Limit:

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

Ambisome Cost Information:

AMBISOME, a product of Astellas Pharma, became effective on January 1, 2003 and is associated with J Code: J0289. AMBISOME has three NDCs mapped to J0289. Between 2018 and 2024, WAC and AWP have had similar increase and decreases of a few percentage points. ASP has experienced minimal fluctuation after a large decrease at the end of 2018.

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Ambisome’s wholesale acquisition cost (WAC) information was last updated on:
January 18, 2024
Ambisome’s average wholesale price (AWP) information was last updated on:
January 18, 2024