Mylan

CLADRIBINE - Cost

Last Updated: April 1st, 2024

HCPCS:

J9065

HCPCS Code Descriptor:

Injection, cladribine, per 1 mg

Medicare Payment Limit:

The CLADRIBINE Medicare Payment Limit is $16.597

Average Sale Price:

CLADRIBINE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The CLADRIBINE Medicare Co-insurance percentage is 20%. CLADRIBINE's Medicare Co-insurance amount is $3.32 per HCPCS unit.

APC Code:

The Cladribine APC Code is: 0858

APC Payment Limit:

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

Cladribine Cost Information:

CLADRIBINE, became effective on January 1, 1997, and is aligned to HCPCS J9065. CLADRIBINE has five NDCs aligned to J Code: J9065 with possible errors or discrepancies found amongst two of these mappings. WAC and AWP have remained constant since 2017 while ASP has experienced significant fluctuations. ASP has decreased by nearly 30% over this time period.

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Cladribine’s wholesale acquisition cost (WAC) information was last updated on:
May 25, 2023
Cladribine’s average wholesale price (AWP) information was last updated on:
May 25, 2023

Cladribine Cost Graph: