Amicus Therapeutics

POMBILITI - Cost

Updated as of: July 1st, 2024

HCPCS:

J1203

HCPCS Code Descriptor:

Injection, cipaglucosidase alfa-atga, 5 mg

Medicare Payment Limit:

The Pombiliti Medicare Payment Limit is $88.141.

Average Sale Price:

Pombiliti cost is available once logged in.

Medicare Co-Insurance Percentage:

The Pombiliti Medicare Co-insurance percentage is 88.141%. Pombiliti's Medicare Co-insurance amount is $17.628.

APC Code:

The Pombiliti APC Code is 0737

APC Payment Limit:

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

Pombiliti Cost Information:

POMBILITI, a product of Amicus Therapeutics, became effective on April 1, 2024. POMBILITI is aligned to J Code: J1203. Early pricing indicates WAC being an estimated 20% below AWP.

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The WAC pricing for Pombiliti was updated on:
October 1, 2023
Pombiliti’s average wholesale price (AWP) was last updated on:
October 1, 2023

Pombiliti Cost Graph: