Bristol Myers Squibb

ORENCIA - Cost

Last Updated: April 1st, 2024

HCPCS:

J0129

HCPCS Code Descriptor:

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

Medicare Payment Limit:

The ORENCIA Medicare Payment Limit is $42.84

Average Sale Price:

ORENCIA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ORENCIA Medicare Co-insurance percentage is 20%. ORENCIA's Medicare Co-insurance amount is $8.57 per HCPCS unit.

APC Code:

The Orencia APC Code is: 9230

APC Payment Limit:

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

Orencia Cost Information:

Orencia's HCPCS code is J0129, and it was added January 1, 2007, but first became effective January 1, 2012. Between January 2016 and December 2016, both the AWP and the WAC underwent some slight increases every few months. Between January 2017 and December 2021, both the AWP and the WAC saw increases yearly at roughtly the same rate. Between January 2022 and March 2023, both the AWP and the WAC underwent slight increases and inconsistent intervals. In April 2023, both the AWP and the WAC dropped sharply, which corresponds with a new NDC being added. The AWP and the WAC both rose again sharply in July 2023, dropped sharply again in October 2023, then rose to their highest price in December 2023. The ASP saw slight increases and decreases between January 2016 and June 2021, with an overall upward trend. In July 2021, the ASP dropped very sharply, and has been decreasing in slight increments since.

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