Janssen

INVEGA SUSTENNA - Cost

Last Updated: April 1st, 2024

HCPCS:

J2426

HCPCS Code Descriptor:

Injection, paliperidone palmitate extended release (invega sustenna), 1 mg

Medicare Payment Limit:

The INVEGA SUSTENNA Medicare Payment Limit is $14.279

Average Sale Price:

INVEGA SUSTENNA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The INVEGA SUSTENNA Medicare Co-insurance percentage is 20%. INVEGA SUSTENNA's Medicare Co-insurance amount is $2.86 per HCPCS unit.

APC Code:

The Invega Sustenna APC Code is: 9255

APC Payment Limit:

The APC Payment Limit for INVEGA SUSTENNA is available. Login to view.

Invega Sustenna Cost Information:

INVEGA SUSTENNA, became effective on July 1, 2023 and is aligned to HCPCS J2426. There are seven NDCs mapped to J Code: J2426 without issue. Throughout 2023, pricing trended slightly upwards by around 10%. In 2024, ASP remained in between WAC and AWP.

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Invega Sustenna’s wholesale acquisition cost (WAC) information was last updated on:
January 24, 2024
Invega Sustenna’s average wholesale price (AWP) information was last updated on:
January 24, 2024