NDC Lookup
Search any National Drug Code for its package description, pricing, and aligned HCPCS code.
Explore More →-
Coding References
Learn
Solutions
- Subscription Options
Drug Price Lookup & Trends
Look up any drug's Medicare Payment Limit and two years of history, free — five lookups a day. ASP, WAC, AWP, and the full history require a subscription.
Popular drugs:
Start a 7-day free trial →
- ASP, WAC, & AWP current
- Next update
- Pricing history
- 10+ years
- ASP, WAC & AWP
- HCPCS drug codes
- 1,300+
- Next update
Trusted by Leading Healthcare Organizations
What You Get
What a Subscription Unlocks
Every drug lookup opens the full picture of pricing, coding, and analytics across three connected data sets.
-
Pricing data
ASP, WAC, AWP, and the Medicare Payment Limit on every drug we cover, for the current quarter and every quarter behind it.
See full pricing data -
Coding & drug information
The HCPCS descriptor, every aligned NDC package, and the billing-unit conversion that sits behind the price.
See full drug info -
Analytics & reports
More than ten years charted and compared across drugs and biosimilars, for forecasting, biosimilar impact studies, and pricing strategy.
Try analytics & reports
Free Tool
Medicare Payment Limit Lookup
Enter a HCPCS code or drug name to see what Medicare Part B allows per billing unit, the hospital outpatient (APC) limit for the same code, and how the payment limit has moved quarter by quarter over the past two years. Free for five drugs a day, no account needed.
CMS publishes a payment limit only for codes with a current Average Sales Price, so some codes return nothing. ASP, WAC, and AWP, and 10 years of history for all four, need a free trial.
Try an example:
The four prices a drug carries
-
ASP Average Sales Price
The volume-weighted average price manufacturers actually realize on a drug, net of most discounts and rebates. Manufacturers report it to CMS, and it is the basis for what Medicare Part B pays.
Reported quarterly by manufacturers
-
WAC Wholesale Acquisition Cost
The manufacturer's published list price to wholesalers, before discounts and rebates. It is the common reference point for a new drug in the quarters before its first ASP.
Refreshed weekly
-
AWP Average Wholesale Price
A published list-price benchmark, typically set above WAC, still used as a reference in many commercial and state program contracts.
Refreshed weekly
-
Payment Limit Medicare Payment Limit
What Medicare Part B actually allows for a separately payable drug, generally ASP plus 6 percent. CMS publishes it quarterly.
Published quarterly by CMS
Biggest Movers
Biggest Medicare Price Moves
The largest moves in the Medicare Payment Limit. Drops track biosimilar and generic entry; increases often mark sole-source or shortage drugs. Pick a window, and follow any drug through to its full record.
Across the 405 codes with a decade of published history.
Largest drops
Excluded as an outlier: Floxuridine (J9200) rose +8,214.9%, a documented sole-source generic spike, held out so it doesn't compress the rest of the ranking.
Across the 548 codes with five years of published history.
Largest drops
Excluded as an outlier: Floxuridine (J9200) rose +5,805.8%, a documented sole-source generic spike, held out so it doesn't compress the rest of the ranking.
Across the 832 codes with a full year of quarterly history.
Largest drops
Figures are the change in the Medicare Payment Limit per billing unit; a subscription opens the full ASP, WAC, and AWP history behind each.
How It Works
From a Code to a Price Trend
Every drug's Medicare Payment Limit, and its last two years of history, are free to look up above, five drugs a day. A subscription removes the daily limit and adds current ASP, WAC, and AWP, and the full history behind each price.
-
Look up a drug
Type any HCPCS code or drug name to pull its current Medicare Payment Limit and hospital outpatient (APC) limit — free, five lookups a day.
-
See the recent trend
Chart the payment limit across the last two years to see how it has moved quarter by quarter.
-
Unlock the full picture
A subscription adds ASP, WAC, and AWP and a decade of history behind each price for forecasting and audits.
Who It's For
Built for Everyone Who Touches the Claim
The billing team forecasting reimbursement, the practice planning purchasing, the analyst modelling net price, and the payer reviewing a rate all work from the same price record.
-
Billing & revenue cycle
Track how ASP and the Medicare Payment Limit move each quarter, so reimbursement expectations stay accurate.
-
Oncology & specialty practices
Watch pricing trends for the office-administered drugs you buy and bill, and plan purchasing around them.
-
Market access & pricing
Use 10+ years of pricing for GTN and ASP forecasting models, biosimilar impact studies, and pricing strategy.
-
Payers & consultants
Review long-run pricing history to support reimbursement analysis, rate-setting, and audit activity.
FAQs
Drug Price Lookup FAQs
How far the history goes, what can be trended, and how often each price changes.
Still have a question? Contact usHow far back does pricing history go?
More than ten years, for every drug we cover. We keep each published quarter of ASP and the Medicare Payment Limit alongside the weekly WAC and AWP record, so you can follow a drug from where it sat a decade ago right up to the current quarter. Searching, the current Medicare Payment Limit, and its last two years of history are free to view for five drugs a day; ASP, WAC, AWP, and the full history come with a subscription.
Which prices can I trend over time?
ASP, WAC, AWP, and the Medicare Payment Limit can each be charted over time, on their own or side by side. They move on different schedules and for different reasons, so lining them up is the quickest way to see where list price and actual reimbursement have pulled apart, usually the clearest sign of biosimilar or generic entry. The payment limit’s recent trend is free to view; the rest come with a subscription.
How often is pricing updated?
WAC and AWP refresh every week, on Tuesdays. ASP and the Medicare Payment Limit follow the CMS quarterly schedule, taking effect in January, April, July, and October, and we apply any CMS corrections as soon as they are published. Whenever the files are released early, we post the new pricing ahead of its effective date, so you can see what is coming before the quarter turns. To see which limits actually moved when the latest file landed, and by how much, open the Medicare Part B reimbursement board.
What does a subscription include?
The full pricing picture on every drug we cover: current ASP, WAC, and AWP next to the Medicare Payment Limit, plus more than ten years of history for each, charted so you can compare drugs and biosimilars side by side. You can start with a 7-day free trial that opens all of it.
What can I see without a subscription?
Quite a bit. Searching is free, every drug code page shows the descriptor and publicly available coding detail, and the lookup above returns the current Medicare Payment Limit and hospital outpatient (APC) limit along with the last two years of the payment-limit trend, no login needed, for five drugs a day. ASP, WAC, AWP, and the full history behind each price are where a subscription comes in.
How many free lookups do I get each day?
Five drugs a day, no account needed. Looking up a drug you have already opened that day never counts again, and the count resets every day. Drug code pages are not limited — every code page stays free to browse. A subscription removes the daily limit and adds ASP, WAC, and AWP with the full history behind each price.
What BuyandBill.com Does
Other Capabilities
HCPCS Code Lookup
Search any HCPCS code for its descriptor, aligned NDC packages, pricing, and reimbursement.
Explore More →Drug Comparative Graphing
Chart two drugs on one graph and compare drugs and biosimilars side by side.
Explore More →Billing Calculator
Turn billing units into the Medicare allowed amount, the 80/20 split, and the charge to submit.
Explore More →See 10 Years of Pricing in Seconds
Start a free trial and track AWP, WAC, and ASP drug pricing in tabular and graphical trend formats.
