Teva

HERZUMA - Cost

Last Updated: April 1st, 2024

HCPCS:

Q5113

HCPCS Code Descriptor:

Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg

Medicare Payment Limit:

The HERZUMA Medicare Payment Limit is $55.797

Average Sale Price:

HERZUMA ASP cost available once logged in. Herzuma is a biosimilar drug making the ASP calculation more complex. Herzuma's ASP is based on the average sale price of its biosimilar reference drug.

Medicare Co-Insurance Percentage:

The HERZUMA Medicare Co-insurance percentage is 20%. HERZUMA's Medicare Co-insurance amount is $11.16 per HCPCS unit.

APC Code:

The Herzuma APC Code is: 9349

APC Payment Limit:

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

Herzuma Cost Information:

Herzuma is a biosimilar for Herceptin (J9355) active ingredient: Trastuzumab. Herzuma’s HCPCS (Q5113) was added in July of 2019, but a price was not released until March 2020. Since this price release, Herzuma has not taken any increases or decreases to its list price. Since Herzuma’s ASP was released in July of 2020, it significantly decreased every quarter until 2022 where the ASP fluctuated up and down. Herzuma’s ASP decreased in 2023 and began to rise the first quarter of 2024.

ACCESS PRICING AND MORE BY REGISTERING

Herzuma’s wholesale acquisition cost (WAC) information was last updated on:
March 16, 2020
Herzuma’s average wholesale price (AWP) information was last updated on:
March 16, 2020