Pfizer

PHYTONADIONE - Cost

Last Updated: April 1st, 2024

HCPCS:

J3430

HCPCS Code Descriptor:

Injection, phytonadione (vitamin k), per 1 mg

Medicare Payment Limit:

The PHYTONADIONE Medicare Payment Limit is $2.803

Average Sale Price:

PHYTONADIONE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The PHYTONADIONE Medicare Co-insurance percentage is 20%. PHYTONADIONE's Medicare Co-insurance amount is $0.56 per HCPCS unit.

APC Code:

The Phytonadione APC Code is: not available

APC Payment Limit:

The APC Payment Limit for PHYTONADIONE is not available.

Phytonadione Cost Information:

PHYTONADIONE, HCPCS J3430, became effective on January 1, 1997. PHYTONADIONE has seven NDCs aligned to J3430 with one potential error found. Between 2021 and 2024, WAC and AWP remained constant. Adversely, ASP saw a significant decline of nearly 30%.

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Phytonadione’s wholesale acquisition cost (WAC) information was last updated on:
July 1, 2022
Phytonadione’s average wholesale price (AWP) information was last updated on:
July 1, 2022