Pfizer

INFLECTRA - Cost

Last Updated: April 1st, 2024

HCPCS:

Q5103

HCPCS Code Descriptor:

Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg

Medicare Payment Limit:

The INFLECTRA Medicare Payment Limit is $11.092

Average Sale Price:

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

Medicare Co-Insurance Percentage:

The INFLECTRA Medicare Co-insurance percentage is 20%. INFLECTRA's Medicare Co-insurance amount is $2.22 per HCPCS unit.

APC Code:

The Inflectra APC Code is: 1847

APC Payment Limit:

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

Inflectra Cost Information:

Inflectra is a biosimilar to Remicade (J1745) with the active ingredient infliximab. Inflectra was first assigned to Q5102 which was discontinued on March 31st, 2018. Inflectra was then reassigned to the Q Code Q5103, effective April of 2018. Since it’s effective date, Inflectra has not taken any increases or decreases to its list price. Due to competition among the infliximab biosimilar class, the ASP for Inflectra has steadily decreased since it’s effective date.

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Inflectra’s wholesale acquisition cost (WAC) information was last updated on:
October 17, 2016
Inflectra’s average wholesale price (AWP) information was last updated on:
October 17, 2016