Pfizer

RAPAMUNE - Cost

Last Updated: April 1st, 2024

HCPCS:

J7520

HCPCS Code Descriptor:

Sirolimus, oral, 1 mg

Medicare Payment Limit:

The RAPAMUNE Medicare Payment Limit is $2.46

Average Sale Price:

RAPAMUNE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The RAPAMUNE Medicare Co-insurance percentage is 20%. RAPAMUNE's Medicare Co-insurance amount is $0.49 per HCPCS unit.

APC Code:

The Rapamune APC Code is: not available

APC Payment Limit:

The APC Payment Limit for RAPAMUNE is not available.

Rapamune Cost Information:

RAPAMUNE, manufactured by Pfizer, is aligned to HCPCS J7520 and became effective on January 1, 2001. There are 23 NDCs aligned to J Code: J7520. Between 2018 and 2024, AWP has remained somewhat constant while WAC and ASP have trended downwards. WAC has decreased by close to 65% while ASP has fallen by a similar margin.

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Rapamune’s wholesale acquisition cost (WAC) information was last updated on:
September 28, 2023
Rapamune’s average wholesale price (AWP) information was last updated on:
January 1, 2023