Last Updated: April 1st, 2024



HCPCS Code Descriptor:

Injection, estrogen conjugated, per 25 mg

Medicare Payment Limit:

The PREMARIN Medicare Payment Limit is $372.367

Average Sale Price:

PREMARIN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The PREMARIN Medicare Co-insurance percentage is 20%. PREMARIN's Medicare Co-insurance amount is $74.47 per HCPCS unit.

APC Code:

The Premarin APC Code is: 9038

APC Payment Limit:

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

Premarin Cost Information:

Premarin's HCPCS code, J1410, was added on January 1, 1982. However, it did not become effective until January 1, 2017. Premarin's AWP saw a few sharp price increases between January 2016 and December 2017, then entered into a stagnant period where it remained at the same level between January 2018 and December 2019. Beginning in January 2020, Premarin's WAC entered a period of predictable pricing, with a moderate raise in price once per year in January. The WAC has followed the same trend as the AWP, with a long period of stagnant pricing between January 2018 and December 2019, and predictable yearly price increases between January 2020 and March 2024. The ASP has followed the WAC's trends, however the increases in the price of the ASP typically happen a few months after the WAC increases.


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

Premarin Cost Graph: