ELI LILLY AND COMPANY

LYUMJEV U-100 - Cost

Last Updated: April 1st, 2024

HCPCS:

J1813

HCPCS Code Descriptor:

Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units

Medicare Payment Limit:

The LYUMJEV U-100 Medicare Payment Limit is $15.678

Average Sale Price:

LYUMJEV U-100 ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The LYUMJEV U-100 Medicare Co-insurance percentage is 20%. LYUMJEV U-100's Medicare Co-insurance amount is $3.14 per HCPCS unit.

APC Code:

The Lyumjev U-100 APC Code is: 9368

APC Payment Limit:

The APC Payment Limit for LYUMJEV U-100 is available. Login to view.

Lyumjev U-100 Cost Information:

LYUMJEV U-100, became effective on July 1, 2023, and is aligned to HCPCS J1813. Prices indicate minimal changes from 2023 through 2024. ASP has trended slightly above WAC during this time.

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Lyumjev U-100’s wholesale acquisition cost (WAC) information was last updated on:
June 16, 2020
Lyumjev U-100’s average wholesale price (AWP) information was last updated on:
June 16, 2020