American Regent

Hydroxyzine Hcl - Cost

Last Updated: April 1st, 2024

HCPCS:

J3410

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.

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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