MALLINCKRODT PHARMACEUTICALS

H.P. ACTHAR - Cost

Last Updated: April 1st, 2024

HCPCS:

J0801

HCPCS Code Descriptor:

Injection, corticotropin (acthar gel), up to 40 units

Medicare Payment Limit:

The H.P. ACTHAR Medicare Payment Limit is $3370.387

Average Sale Price:

H.P. ACTHAR ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The H.P. ACTHAR Medicare Co-insurance percentage is 20%. H.P. ACTHAR's Medicare Co-insurance amount is $674.08 per HCPCS unit.

APC Code:

The H.P. Acthar APC Code is: 9268

APC Payment Limit:

The APC Payment Limit for H.P. ACTHAR is available. Login to view.

H.P. Acthar Cost Information:

H.P. ACTHAR, HCPCS J0801, became effective on October 1, 2023. Since its introduction, ASP has remained constant while AWP and WAC increased slightly by a few percentage points.

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