Spectrum Pharma

FOLOTYN - Cost

Last Updated: April 1st, 2024

HCPCS:

J9307

HCPCS Code Descriptor:

Injection, pralatrexate, 1 mg

Medicare Payment Limit:

The FOLOTYN Medicare Payment Limit is $299.279

Average Sale Price:

FOLOTYN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The FOLOTYN Medicare Co-insurance percentage is 20%. FOLOTYN's Medicare Co-insurance amount is $59.86 per HCPCS unit.

APC Code:

The Folotyn APC Code is: 9259

APC Payment Limit:

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

Folotyn Cost Information:

FOLOTYN, manufactured by Spectrum Pharma, became effective on January 1, 2011 and is aligned to HCPCS J9307. FOLOTYN has six NDCs aligned to J Code: J9307. In between 2022 and 2023, both WAC and AWP fell by an estimated 25% and have remained at these levels through 2024.

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

Folotyn Cost Graph: