Heritage Pharma

CIDOFOVIR - Cost

Last Updated: April 1st, 2024

HCPCS:

J0740

HCPCS Code Descriptor:

Injection, cidofovir, 375 mg

Medicare Payment Limit:

The CIDOFOVIR Medicare Payment Limit is $581.057

Average Sale Price:

CIDOFOVIR ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The CIDOFOVIR Medicare Co-insurance percentage is 20%. CIDOFOVIR's Medicare Co-insurance amount is $116.21 per HCPCS unit.

APC Code:

The Cidofovir APC Code is: 9033

APC Payment Limit:

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

Cidofovir Cost Information:

CIDOFOVIR, HCPCS J0740, became effective on January 1, 1998. CIDOFOVIR has two NDCs mapped to J0740. Historical pricing shows AWP and WAC unchanged. ASP has shown slight movement with the most recent being an estimated 5% decrease at the end of 2023.

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Cidofovir’s wholesale acquisition cost (WAC) information was last updated on:
February 24, 2015
Cidofovir’s average wholesale price (AWP) information was last updated on:
February 24, 2015