Fresenius Kabi

FULVESTRANT - Cost

Last Updated: April 1st, 2024

HCPCS:

J9394

HCPCS Code Descriptor:

Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg

Medicare Payment Limit:

The FULVESTRANT Medicare Payment Limit is $5.286

Average Sale Price:

FULVESTRANT ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The FULVESTRANT Medicare Co-insurance percentage is 20%. FULVESTRANT's Medicare Co-insurance amount is $1.06 per HCPCS unit.

APC Code:

The Fulvestrant APC Code is: 9103

APC Payment Limit:

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

Fulvestrant Cost Information:

FULVESTRANT, HCPCS J9394, became effective on January 1, 2023. From its inception, WAC and AWP have experienced no changes while ASP had a massive increase of over 3000% in 2023. Towards the beginning of 2024, ASP experienced a steep drop of nearly 90%

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Fulvestrant’s wholesale acquisition cost (WAC) information was last updated on:
April 1, 2021
Fulvestrant’s average wholesale price (AWP) information was last updated on:
April 1, 2021

Fulvestrant Cost Graph: