Multiple Manufacturers

ELEVIDYS - Cost

Updated as of: July 1st, 2024

HCPCS:

J1413

HCPCS Code Descriptor:

Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose

Medicare Payment Limit:

The Elevidys Medicare Payment Limit is not available.

Average Sale Price:

Elevidys cost is not available.

Medicare Co-Insurance Percentage:

Elevidys is not listed on the Medicare ASP file and does not have a Medicare Co-Insurance amount listed.

APC Code:

The Elevidys APC Code is 0714

APC Payment Limit:

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

Elevidys Cost Information:

ELEVIDYS, manufactured by Sarepta Therapeutics, became effective on January 1, 2024. ELEVIDYS is aligned to J Code: J1413 and has 61 NDCs with multiple discrepancies found within these mappings.

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The WAC pricing for Elevidys was updated on:
June 22, 2023
Elevidys’s average wholesale price (AWP) was last updated on:
June 22, 2023

Elevidys Cost Graph: