Pfizer

TOBRAMYCIN SULFATE - Cost

Last Updated: April 1st, 2024

HCPCS:

J3260

HCPCS Code Descriptor:

Injection, tobramycin sulfate, up to 80 mg

Medicare Payment Limit:

The TOBRAMYCIN SULFATE Medicare Payment Limit is $2.553

Average Sale Price:

TOBRAMYCIN SULFATE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The TOBRAMYCIN SULFATE Medicare Co-insurance percentage is 20%. TOBRAMYCIN SULFATE's Medicare Co-insurance amount is $0.51 per HCPCS unit.

APC Code:

The Tobramycin Sulfate APC Code is: not available

APC Payment Limit:

The APC Payment Limit for TOBRAMYCIN SULFATE is not available.

Tobramycin Sulfate Cost Information:

TOBRAMYCIN SULFATE, HCPCS J3260, became effective on January 1, 1997 and has 16 NDCs mapped to J Code: J3260. Within these alignments, there was one possible error or discrepancy found. From 2022 through 2024, WAC and AWP have remained constant while ASP has experienced a moderate decline of nearly 40%.

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Tobramycin Sulfate’s wholesale acquisition cost (WAC) information was last updated on:
July 10, 2023
Tobramycin Sulfate’s average wholesale price (AWP) information was last updated on:
July 10, 2023