Pfizer

BENEFIX - Cost

Last Updated: April 1st, 2024

HCPCS:

J7195

HCPCS Code Descriptor:

Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified

Medicare Payment Limit:

The BENEFIX Medicare Payment Limit is $1.752

Average Sale Price:

BENEFIX ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The BENEFIX Medicare Co-insurance percentage is 20%. BENEFIX's Medicare Co-insurance amount is $0.35 per HCPCS unit.

APC Code:

The Benefix APC Code is: 0932

APC Payment Limit:

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

Benefix Cost Information:

BENEFIX, a Pfizer product, became effective on January 1, 2015 and is associated with HCPCS J7195. BENEFIX has five NDCs aligned to J7195. From 2020 through 2024, pricing has constantly increased by a couple percentage points annually. As of 2024, ASP remains close to WAC indicating little to no discount.

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