Pfizer

MYLOTARG - Cost

Last Updated: April 1st, 2024

HCPCS:

J9203

HCPCS Code Descriptor:

Injection, gemtuzumab ozogamicin, 0.1 mg

Medicare Payment Limit:

The MYLOTARG Medicare Payment Limit is $226.28

Average Sale Price:

MYLOTARG ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The MYLOTARG Medicare Co-insurance percentage is 20%. MYLOTARG's Medicare Co-insurance amount is $45.26 per HCPCS unit.

APC Code:

The Mylotarg APC Code is: 9495

APC Payment Limit:

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

Mylotarg Cost Information:

MYLOTARG, manufactured by Pfizer, is aligned to HCPCS J9203 and became effective on January 1, 2018. Historic pricing indicates steady increases of a couple percent every year from MYLOTARG's inception. WAC and ASP remain closely related showing little to no discount.

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Mylotarg’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Mylotarg’s average wholesale price (AWP) information was last updated on:
January 1, 2024

Mylotarg Cost Graph: