Genzyme

LEMTRADA - Cost

Last Updated: April 1st, 2024

HCPCS:

J0202

HCPCS Code Descriptor:

Injection, alemtuzumab, 1 mg

Medicare Payment Limit:

The LEMTRADA Medicare Payment Limit is $2347.582

Average Sale Price:

LEMTRADA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The LEMTRADA Medicare Co-insurance percentage is 20%. LEMTRADA's Medicare Co-insurance amount is $469.52 per HCPCS unit.

APC Code:

The Lemtrada APC Code is: 1809

APC Payment Limit:

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

Lemtrada Cost Information:

Lemtrada's HCPCS code, J0202, became both active and effective on January 1, 2016. The AWP remained at the same price until May 2016, when it increased sharply. The AWP has continued to follow this pricing trend since 2016, remaining the same for 5 to 6 months before a sharp increase. The WAC has followed a very similar trend, remaining consistent with increases every 5-6 months. The WAC and the ASP started out at a very similar price, and the ASP has followed a similar trend to both the WAC and the ASP, rising every few months in smaller increments.

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Lemtrada’s wholesale acquisition cost (WAC) information was last updated on:
January 3, 2024
Lemtrada’s average wholesale price (AWP) information was last updated on:
January 3, 2024