Astrazeneca

FASLODEX - Cost

Last Updated: April 1st, 2024

HCPCS:

J9395

HCPCS Code Descriptor:

Injection, fulvestrant, 25 mg

Medicare Payment Limit:

The FASLODEX Medicare Payment Limit is $8.169

Average Sale Price:

FASLODEX ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The FASLODEX Medicare Co-insurance percentage is 20%. FASLODEX's Medicare Co-insurance amount is $1.63 per HCPCS unit.

APC Code:

The Faslodex APC Code is: 9120

APC Payment Limit:

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

Faslodex Cost Information:

FASLODEX, manufactured by Astrazeneca, is aligned to HCPCS J9395 and became effective on January 1, 2004. FASLODEX has 22 NDCs mapped to J Code: J9395 with numerous possible errors found within these alignments. Prices have decreased significantly between 2022 and 2024.

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Faslodex’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Faslodex’s average wholesale price (AWP) information was last updated on:
January 1, 2024

Faslodex Cost Graph: