Eagle Pharmaceuticals

Pemfexy - Cost

Last Updated: April 1st, 2024

HCPCS:

J9304

HCPCS Code Descriptor:

Injection, pemetrexed (pemfexy), 10 mg

Medicare Payment Limit:

The Pemfexy Medicare Payment Limit is $63.078

Average Sale Price:

Pemfexy ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Pemfexy Medicare Co-insurance percentage is 20%. Pemfexy's Medicare Co-insurance amount is $12.62 per HCPCS unit.

APC Code:

The Pemfexy APC Code is: 9442

APC Payment Limit:

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

Pemfexy Cost Information:

Pemfexy, HCPCS J9304, became effective on October 1, 2020. WAC and AWP experienced steady increases of a few percentage points every six months on average. As of 2024, ASP slightly declined and trended around 40% below WAC.

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Pemfexy’s wholesale acquisition cost (WAC) information was last updated on:
May 8, 2023
Pemfexy’s average wholesale price (AWP) information was last updated on:
May 8, 2023

Pemfexy Cost Graph: