Octapharma

OCTAGAM - Cost

Last Updated: April 1st, 2024

HCPCS:

J1568

HCPCS Code Descriptor:

Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg

Medicare Payment Limit:

The OCTAGAM Medicare Payment Limit is $46.98

Average Sale Price:

OCTAGAM ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The OCTAGAM Medicare Co-insurance percentage is 20%. OCTAGAM's Medicare Co-insurance amount is $9.4 per HCPCS unit.

APC Code:

The Octagam APC Code is: 0943

APC Payment Limit:

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

Octagam Cost Information:

OCTAGAM, became effective on January 1, 2008, and is aligned to HCPCS J1568. OCTAGAM has 10 NDCs aligned to J Code: J1568 with one possible error found among these mappings. From 2019 through 2024, AWP and WAC have shown no change while ASP has risen slightly by around 15%.

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Octagam’s wholesale acquisition cost (WAC) information was last updated on:
November 13, 2023
Octagam’s average wholesale price (AWP) information was last updated on:
November 13, 2023