Genentech

HEMLIBRA - Cost

Last Updated: April 1st, 2024

HCPCS:

J7170

HCPCS Code Descriptor:

Injection, emicizumab-kxwh, 0.5 mg

Medicare Payment Limit:

The HEMLIBRA Medicare Payment Limit is $50.842

Average Sale Price:

HEMLIBRA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The HEMLIBRA Medicare Co-insurance percentage is 20%. HEMLIBRA's Medicare Co-insurance amount is $10.17 per HCPCS unit.

APC Code:

The Hemlibra APC Code is: 9257

APC Payment Limit:

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

Hemlibra Cost Information:

HEMLIBRA, manufactured by Genentech, became effective on January 1, 2019, and is aligned to HCPCS J7170. From its inception, prices have generally increased by a couple percentage points annually. At the start of 2024, ASP trended around 14% below WAC.

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Hemlibra’s wholesale acquisition cost (WAC) information was last updated on:
January 4, 2024
Hemlibra’s average wholesale price (AWP) information was last updated on:
January 4, 2024