Vifor

RETACRIT - Cost

Last Updated: April 1st, 2024

HCPCS:

Q5105

HCPCS Code Descriptor:

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units

Medicare Payment Limit:

The RETACRIT Medicare Payment Limit is $0.751

Average Sale Price:

RETACRIT ASP cost available once logged in. Retacrit is a biosimilar drug making the ASP calculation more complex. Retacrit's ASP is based on the average sale price of its biosimilar reference drug.

Medicare Co-Insurance Percentage:

The RETACRIT Medicare Co-insurance percentage is 20%. RETACRIT's Medicare Co-insurance amount is $0.15 per HCPCS unit.

APC Code:

The Retacrit APC Code is: 9096

APC Payment Limit:

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

Retacrit Cost Information:

RETACRIT, HCPCS Q5105, became effective on January 1, 2020. There are 19 NDCs mapped to Q Code: Q5105 with no errors or potential discrepancies found. AWP and WAC have had no changes since 2020. ASP has decreased by an estimated 60% over this same time.

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Retacrit’s wholesale acquisition cost (WAC) information was last updated on:
November 25, 2020
Retacrit’s average wholesale price (AWP) information was last updated on:
November 25, 2020

Retacrit Cost Graph: