Genentech

BONIVA - Cost

Last Updated: April 1st, 2024

HCPCS:

J1740

HCPCS Code Descriptor:

Injection, ibandronate sodium, 1 mg

Medicare Payment Limit:

The BONIVA Medicare Payment Limit is $31.713

Average Sale Price:

BONIVA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The BONIVA Medicare Co-insurance percentage is 20%. BONIVA's Medicare Co-insurance amount is $6.34 per HCPCS unit.

APC Code:

The Boniva APC Code is: not available

APC Payment Limit:

The APC Payment Limit for BONIVA is not available.

Boniva Cost Information:

BONIVA, a Genentech product, became effective on January 1, 2023, and is aligned to HCPCS J1740. BONIVA has six NDCs mapped to J Code: J1740 with potential errors or discrepancies found associated with these mappings. Between 2018 and 2024, WAC and AWP have remained somewhat constant while ASP has significantly decreased by more than half.

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Boniva’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2017
Boniva’s average wholesale price (AWP) information was last updated on:
January 1, 2017