Acella Pharmaceuticals

PHENYTOIN SODIUM - Cost

Last Updated: April 1st, 2024

HCPCS:

J1165

HCPCS Code Descriptor:

Injection, phenytoin sodium, per 50 mg

Medicare Payment Limit:

The PHENYTOIN SODIUM Medicare Payment Limit is $0.64

Average Sale Price:

PHENYTOIN SODIUM ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The PHENYTOIN SODIUM Medicare Co-insurance percentage is 20%. PHENYTOIN SODIUM's Medicare Co-insurance amount is $0.13 per HCPCS unit.

APC Code:

The Phenytoin Sodium APC Code is: not available

APC Payment Limit:

The APC Payment Limit for PHENYTOIN SODIUM is not available.

Phenytoin Sodium Cost Information:

PHENYTOIN SODIUM, HCPCS J1165, became effective on January 1, 1997. PHENYTOIN SODIUM has nine NDCs aligned to J Code: J1165 with several potential mapping errors or discrepancies found. Prices have mostly remained constant. ASP has shown both positive and negative swings. In 2024, WAC and AWP were slightly below ASP.

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Phenytoin Sodium’s wholesale acquisition cost (WAC) information was last updated on:
October 23, 2023
Phenytoin Sodium’s average wholesale price (AWP) information was last updated on:
October 23, 2023