American Regent

Hydroxyzine Hcl - Cost

Last Updated: April 1st, 2024



HCPCS Code Descriptor:

Injection, hydroxyzine hcl, up to 25 mg

Medicare Payment Limit:

The Hydroxyzine Hcl Medicare Payment Limit is $13.869

Average Sale Price:

Hydroxyzine Hcl ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Hydroxyzine Hcl Medicare Co-insurance percentage is 20%. Hydroxyzine Hcl's Medicare Co-insurance amount is $2.77 per HCPCS unit.

APC Code:

The Hydroxyzine Hcl APC Code is: not available

APC Payment Limit:

The APC Payment Limit for Hydroxyzine Hcl is not available.

Hydroxyzine Hcl Cost Information:

Hydroxyzine Hcl, manufactured by American Regent, became effective on January 1, 1997 and is aligned to HCPCS J3410. There are three NDCs mapped to J Code: J3410 with possible discrepancies found amongst all of these alignments. Between 2019 and 2023, pricing bottomed out. In 2023, prices rose substantially and maintained these levels through 2024.


Hydroxyzine Hcl’s wholesale acquisition cost (WAC) information was last updated on:
February 1, 2024
Hydroxyzine Hcl’s average wholesale price (AWP) information was last updated on:
February 1, 2024