Novartis

SIMULECT - Cost

Last Updated: April 1st, 2024

HCPCS:

J0480

HCPCS Code Descriptor:

Injection, basiliximab, 20 mg

Medicare Payment Limit:

The SIMULECT Medicare Payment Limit is $4487

Average Sale Price:

SIMULECT ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The SIMULECT Medicare Co-insurance percentage is 20%. SIMULECT's Medicare Co-insurance amount is $897.4 per HCPCS unit.

APC Code:

The Simulect APC Code is: 1683

APC Payment Limit:

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

Simulect Cost Information:

Simulect's HCPCS code is J0480. The code was added and became effective on January 1, 2006. Between January 2016 and December 2017, the AWP followed a repetitive trend with slight price raises every six months. Between January 2018 and September 2022, the AWP had some slight increases but with longer stretches of inactivity in the price, staying at the same price for years at a time. For instance, for from February 2020 to August 2022, the AWP stayed exactly the same. Since September 2022, the AWP has had some slight price increases every few months. The WAC has very closely mirrored the AWP, with slight price increases every few months, and long periods of inactivity between January 2018 and September 2022. The ASP has followed the trends of the WAC with more gradual and incremental price changes over the years.

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Simulect’s wholesale acquisition cost (WAC) information was last updated on:
January 10, 2024
Simulect’s average wholesale price (AWP) information was last updated on:
January 10, 2024