Heron Therapeutics

SUSTOL - Cost

Last Updated: April 1st, 2024

HCPCS:

J1627

HCPCS Code Descriptor:

Injection, granisetron, extended-release, 0.1 mg

Medicare Payment Limit:

The SUSTOL Medicare Payment Limit is $5.424

Average Sale Price:

SUSTOL ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The SUSTOL Medicare Co-insurance percentage is 20%. SUSTOL's Medicare Co-insurance amount is $1.08 per HCPCS unit.

APC Code:

The Sustol APC Code is: 9421

APC Payment Limit:

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

Sustol Cost Information:

SUSTOL, became effective on January 1, 2018, and is aligned to HCPCS J1627. Between 2018 and 2024, AWP and WAC have shown an upward trend rising by around 30% while ASP has shown more volatility. Between 2021 and 2024, ASP has decreased by an estimated 20%.

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Sustol’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Sustol’s average wholesale price (AWP) information was last updated on:
January 1, 2024