Sun Pharma

ILUMYA - Cost

Last Updated: April 1st, 2024

HCPCS:

J3245

HCPCS Code Descriptor:

Injection, tildrakizumab, 1 mg

Medicare Payment Limit:

The ILUMYA Medicare Payment Limit is $140.227

Average Sale Price:

ILUMYA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ILUMYA Medicare Co-insurance percentage is 20%. ILUMYA's Medicare Co-insurance amount is $28.05 per HCPCS unit.

APC Code:

The Ilumya APC Code is: 9306

APC Payment Limit:

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

Ilumya Cost Information:

ILUMYA, HCPCS J3245, became effective on January 1, 2019. From 2019 through the end of 2022, AWP remained unchanged while WAC trended upwards slightly by an estimated 10%. During this time, ASP rose only by a couple percentage points.

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Ilumya’s wholesale acquisition cost (WAC) information was last updated on:
February 6, 2024
Ilumya’s average wholesale price (AWP) information was last updated on:
February 6, 2024