Slate Run Pharmaceuticals

DICYCLOMINE HCI - Cost

Last Updated: April 1st, 2024

HCPCS:

J0500

HCPCS Code Descriptor:

Injection, dicyclomine hcl, up to 20 mg

Medicare Payment Limit:

The DICYCLOMINE HCI Medicare Payment Limit is $24.985

Average Sale Price:

DICYCLOMINE HCI ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The DICYCLOMINE HCI Medicare Co-insurance percentage is 20%. DICYCLOMINE HCI's Medicare Co-insurance amount is $5 per HCPCS unit.

APC Code:

The Dicyclomine Hci APC Code is: not available

APC Payment Limit:

The APC Payment Limit for DICYCLOMINE HCI is not available.

Dicyclomine Hci Cost Information:

DICYCLOMINE HCI, HCPCS J0500, became effective on January 1, 1997 and has nine NDCs aligned to J0500. Between 2018 and 2022, WAC and AWP remained constant while ASP declined more than 60%. From 2022 to 2024, there was little to no differential between WAC and ASP.

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Dicyclomine Hci’s wholesale acquisition cost (WAC) information was last updated on:
July 26, 2023
Dicyclomine Hci’s average wholesale price (AWP) information was last updated on:
July 26, 2023