EISAI INC.

LEQEMBI - Cost

Last Updated: April 1st, 2024

HCPCS:

J0174

HCPCS Code Descriptor:

Injection, lecanemab-irmb, 1 mg

Medicare Payment Limit:

The LEQEMBI Medicare Payment Limit is $1.339

Average Sale Price:

LEQEMBI ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The LEQEMBI Medicare Co-insurance percentage is 20%. LEQEMBI's Medicare Co-insurance amount is $0.27 per HCPCS unit.

APC Code:

The Leqembi APC Code is: 9157

APC Payment Limit:

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

Leqembi Cost Information:

LEQEMBI, HCPCS J0174, became effective on July 6, 2023. LEQEMBI has two NDCs mapped to J0174 without issue. Throughout 2023, both WAC and ASP remained close to equal signifying little to no discounting.

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Leqembi’s wholesale acquisition cost (WAC) information was last updated on:
January 18, 2023
Leqembi’s average wholesale price (AWP) information was last updated on:
January 18, 2023