Pfizer

Daptomycin - Cost

Last Updated: April 1st, 2024

HCPCS:

J0877

HCPCS Code Descriptor:

Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg

Medicare Payment Limit:

The Daptomycin Medicare Payment Limit is $0.062

Average Sale Price:

Daptomycin ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Daptomycin Medicare Co-insurance percentage is 20%. Daptomycin's Medicare Co-insurance amount is $0.01 per HCPCS unit.

APC Code:

The Daptomycin APC Code is: 9164

APC Payment Limit:

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

Daptomycin Cost Information:

Daptomycin, HCPC J0877, became effective on January 1, 2023. Daptomycin has two NDCs mapped to J Code: J0877. From 2023 through 2024, WAC and AWP have remained constant while ASP saw a slight increase at the beginning of 2023 and returned to previous level to begin 2024.

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Daptomycin’s wholesale acquisition cost (WAC) information was last updated on:
August 4, 2021
Daptomycin’s average wholesale price (AWP) information was last updated on:
August 4, 2021