Hikma Pharmaceuticals

Dacarbazine - Cost

Last Updated: April 1st, 2024

HCPCS:

J9130

HCPCS Code Descriptor:

Dacarbazine, 100 mg

Medicare Payment Limit:

The Dacarbazine Medicare Payment Limit is $3.688

Average Sale Price:

Dacarbazine ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Dacarbazine Medicare Co-insurance percentage is 20%. Dacarbazine's Medicare Co-insurance amount is $0.74 per HCPCS unit.

APC Code:

The Dacarbazine APC Code is: not available

APC Payment Limit:

The APC Payment Limit for Dacarbazine is not available.

Dacarbazine Cost Information:

Dacarbazine, manufactured by Hikma Pharmaceuticals, is aligned to HCPCS J9130 and became effective on January 1, 2004. There are four NDCs aligned to J9130 without issue. AWP and WAC saw no changes from 2019 through 2024. Adversely, ASP decreased by nearly 20% during this same time.

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Dacarbazine’s wholesale acquisition cost (WAC) information was last updated on:
October 31, 2023
Dacarbazine’s average wholesale price (AWP) information was last updated on:
October 31, 2023

Dacarbazine Cost Graph: