Horizon Therapeutics

TEPEZZA - Cost

Last Updated: April 1st, 2024

HCPCS:

J3241

HCPCS Code Descriptor:

Injection, teprotumumab-trbw, 10 mg

Medicare Payment Limit:

The TEPEZZA Medicare Payment Limit is $333.401

Average Sale Price:

TEPEZZA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The TEPEZZA Medicare Co-insurance percentage is 20%. TEPEZZA's Medicare Co-insurance amount is $66.68 per HCPCS unit.

APC Code:

The Tepezza APC Code is: 9355

APC Payment Limit:

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

Tepezza Cost Information:

TEPEZZA, became effective on October 1, 2020, and is aligned to HCPCS J3241. From its introduction, WAC and ASP have remained relatively close. Conversely, AWP has trended over 15% above both WAC and ASP.

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Tepezza’s wholesale acquisition cost (WAC) information was last updated on:
November 3, 2023
Tepezza’s average wholesale price (AWP) information was last updated on:
November 3, 2023