Pfizer

FRAGMIN - Cost

Last Updated: April 1st, 2024

HCPCS:

J1645

HCPCS Code Descriptor:

Injection, dalteparin sodium, per 2500 iu

Medicare Payment Limit:

The FRAGMIN Medicare Payment Limit is $16.596

Average Sale Price:

FRAGMIN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The FRAGMIN Medicare Co-insurance percentage is 12.234%. FRAGMIN's Medicare Co-insurance amount is $2.03 per HCPCS unit.

APC Code:

The Fragmin APC Code is: not available

APC Payment Limit:

The APC Payment Limit for FRAGMIN is not available.

Fragmin Cost Information:

FRAGMIN, became effective on July 1, 2022, and is aligned to HCPCS J1645. FRAGMIN has nine NDCs aligned to J Code: J1645. Pricing has shown an upward trend of moderate increases, of a couple percentage points, between 2022 and 2023. As of 2024, ASP has trended nearly 40% below WAC.

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Fragmin’s wholesale acquisition cost (WAC) information was last updated on:
July 1, 2023
Fragmin’s average wholesale price (AWP) information was last updated on:
July 1, 2023