Daiichi Sankyo

Enhertu - Cost

Last Updated: April 1st, 2024

HCPCS:

J9358

HCPCS Code Descriptor:

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Medicare Payment Limit:

The Enhertu Medicare Payment Limit is $27.268

Average Sale Price:

Enhertu ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Enhertu Medicare Co-insurance percentage is 20%. Enhertu's Medicare Co-insurance amount is $5.45 per HCPCS unit.

APC Code:

The Enhertu APC Code is: not available

APC Payment Limit:

The APC Payment Limit for Enhertu is not available.

Enhertu Cost Information:

Enhertu is a Daiichi Sankyo product aligned to the J Code: J9358, which became effective on July 1st, 2020. Enhertu takes list price increases every six months, typically in July and January. Historically, Enhertu’s list price increases have not been more than a few percentage points. Enhertu’s ASP remains close to its WAC price, within a five percent margin.

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Enhertu’s wholesale acquisition cost (WAC) information was last updated on:
January 2, 2024
Enhertu’s average wholesale price (AWP) information was last updated on:
January 2, 2024