Novartis

ILARIS - Cost

Last Updated: April 1st, 2024

HCPCS:

J0638

HCPCS Code Descriptor:

Injection, canakinumab, 1 mg

Medicare Payment Limit:

The ILARIS Medicare Payment Limit is $124.484

Average Sale Price:

ILARIS ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ILARIS Medicare Co-insurance percentage is 20%. ILARIS's Medicare Co-insurance amount is $24.9 per HCPCS unit.

APC Code:

The Ilaris: APC Code is: 1311

APC Payment Limit:

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

Ilaris Cost Information:

ILARIS, HCPCS J0638, became effective on January 1, 2011. Pricing has continued on an upward trend from 2020 through 2024 typically adjusting every six months on average. ASP has been a couple percentage points below WAC during this time period.

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Ilaris’s wholesale acquisition cost (WAC) information was last updated on:
January 10, 2024
Ilaris’s average wholesale price (AWP) information was last updated on:
January 10, 2024