Heritage Pharma

PROCHLORPERAZINE EDISYLATE - Cost

Last Updated: April 1st, 2024

HCPCS:

J0780

HCPCS Code Descriptor:

Injection, prochlorperazine, up to 10 mg

Medicare Payment Limit:

The PROCHLORPERAZINE EDISYLATE Medicare Payment Limit is $3.944

Average Sale Price:

PROCHLORPERAZINE EDISYLATE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The PROCHLORPERAZINE EDISYLATE Medicare Co-insurance percentage is 20%. PROCHLORPERAZINE EDISYLATE's Medicare Co-insurance amount is $0.79 per HCPCS unit.

APC Code:

The Prochlorperazine Edis:ylate APC Code is: not available

APC Payment Limit:

The APC Payment Limit for PROCHLORPERAZINE EDISYLATE is not available.

Prochlorperazine Edisylate Cost Information:

PROCHLORPERAZINE EDISYLATE, HCPCS J0780, became effective on January 1, 1997, and currently has 19 NDCs mapped to J Code: J0780. From 2022 to 2024, WAC and AWP have remained relatively constant while ASP rose slightly by around 20% at the beginning of 2024.

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Prochlorperazine Edisylate’s wholesale acquisition cost (WAC) information was last updated on:
March 17, 2023
Prochlorperazine Edisylate’s average wholesale price (AWP) information was last updated on:
March 17, 2023