BIOGEN MA INC.

QALSODY - Cost

Last Updated: April 1st, 2024

HCPCS:

J1304

HCPCS Code Descriptor:

Injection, tofersen, 1 mg

Medicare Payment Limit:

The QALSODY Medicare Payment Limit is $150.838

Average Sale Price:

QALSODY ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The QALSODY Medicare Co-insurance percentage is 20%. QALSODY's Medicare Co-insurance amount is $30.17 per HCPCS unit.

APC Code:

The Qalsody APC Code is: 9262

APC Payment Limit:

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

Qalsody Cost Information:

QALSODY, a BIOGEN MA, Inc. product, became effective on January 1, 2024, and is aligned to HCPCS J1304. WAC and ASP have remained closely related in price while AWP has trended around 15% higher.

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Qalsody’s wholesale acquisition cost (WAC) information was last updated on:
April 25, 2023
Qalsody’s average wholesale price (AWP) information was last updated on:
April 25, 2023