Mylan

METHADONE HCL - Cost

Last Updated: April 1st, 2024

HCPCS:

J1230

HCPCS Code Descriptor:

Injection, methadone hcl, up to 10 mg

Medicare Payment Limit:

The METHADONE HCL Medicare Payment Limit is $20.607

Average Sale Price:

METHADONE HCL ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The METHADONE HCL Medicare Co-insurance percentage is 20%. METHADONE HCL's Medicare Co-insurance amount is $4.12 per HCPCS unit.

APC Code:

The Methadone Hcl APC Code is: not available

APC Payment Limit:

The APC Payment Limit for METHADONE HCL is not available.

Methadone Hcl Cost Information:

METHADONE HCL, HCPCS J1230, became effective on January 1, 1997. METHADONE HCL, has two NDCs mapped to J Code: 1230 with potential discrepancies with both of these alignments. From 2021 through 2024, AWP and WAC saw little to no movement while ASP trended slightly downwards. At the beginning of 2024, ASP was slightly above WAC by a few percentage points.

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Methadone Hcl’s wholesale acquisition cost (WAC) information was last updated on:
August 3, 2023
Methadone Hcl’s average wholesale price (AWP) information was last updated on:
August 3, 2023