Mylan

DEXRAZOXANE - Cost

Last Updated: April 1st, 2024

HCPCS:

J1190

HCPCS Code Descriptor:

Injection, dexrazoxane hydrochloride, per 250 mg

Medicare Payment Limit:

The DEXRAZOXANE Medicare Payment Limit is $91.09

Average Sale Price:

DEXRAZOXANE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The DEXRAZOXANE Medicare Co-insurance percentage is 20%. DEXRAZOXANE's Medicare Co-insurance amount is $18.22 per HCPCS unit.

APC Code:

The Dexrazoxane APC Code is: 0726

APC Payment Limit:

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

Dexrazoxane Cost Information:

DEXRAZOXANE, HCPCS J1190, became effective on January 1, 1997. DEXRAZOXANE has 14 NDCs mapped to J1190. Towards the end of 2022, AWP and WAC saw substantial decreases of nearly 65% but have remained at this level through 2024.

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Dexrazoxane’s wholesale acquisition cost (WAC) information was last updated on:
January 19, 2023
Dexrazoxane’s average wholesale price (AWP) information was last updated on:
January 19, 2023